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1205270105
TIFFANY K JOURDAN
CHAMPAIGN, IL
NPI
1205270105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- TIFFANY K JOURDAN
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-398-8080
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Mailing Address
-- TIFFANY K JOURDAN
PO BOX 6883
CHAMPAIGN, IL 61826-6883
Phone number:
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