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1104215615
SYRIANA ALYSE JORDAN
VANCOUVER, WA
NPI
1104215615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2015-01-21
Last Update Date
2015-01-21
Business Address
-- SYRIANA ALYSE JORDAN
6511 NE 18TH ST
VANCOUVER, WA 98661-6869
Phone number: 360-753-6082
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Mailing Address
-- SYRIANA ALYSE JORDAN
6511 NE 18TH ST
VANCOUVER, WA 98661-6869
Phone number: 360-753-6082
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