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1134906571
JAQWAN JORDAN
AUGUSTA, GA
NPI
1134906571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-294674)
Enumeration Date
2023-09-11
Last Update Date
2023-09-14
Business Address
JAQWAN JORDAN
4106 COLUMBIA RD STE 101
AUGUSTA, GA 30907-1482
Phone number: 706-426-0583
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Mailing Address
JAQWAN JORDAN
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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