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1184093882
JORDANA COOPER
VALLEJO, CA
NPI
1184093882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1211520815)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- JORDANA COOPER
141 CROWSNEST CT
VALLEJO, CA 94591-7770
Phone number: 707-301-8433
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Mailing Address
-- JORDANA COOPER
141 CROWSNEST CT
VALLEJO, CA 94591-7770
Phone number: 707-301-8433
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