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1154870723
JORDAN BETTENCOURT
MODESTO, CA
NPI
1154870723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2016-09-23
Last Update Date
2017-11-27
Business Address
JORDAN BETTENCOURT B.S.
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
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Mailing Address
JORDAN BETTENCOURT B.S.
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
Copy
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