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1164201000
JORDIN BLACK
WAITE PARK, MN
NPI
1164201000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2023-09-28
Last Update Date
2024-04-10
Business Address
JORDIN BLACK
314 10TH AVE S STE 100
WAITE PARK, MN 56387-1400
Phone number: 605-271-2690
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Mailing Address
JORDIN BLACK
314 10TH AVE S STE 100
WAITE PARK, MN 56387-1400
Phone number:
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