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1114310513
JORDAN ALEXANDER BOYD
CHAMPAIGN, IL
NPI
1114310513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
-- JORDAN ALEXANDER BOYD
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-398-8464
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Mailing Address
-- JORDAN ALEXANDER BOYD
502 W ILLINOIS ST APT 1
URBANA, IL 61801-7921
Phone number: 708-341-8713
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