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1205306917
ROXANNE JORDAN
POMONA, CA
NPI
1205306917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
ROXANNE JORDAN AOD Certification
1050 N GAREY AVE
POMONA, CA 91767-3802
Phone number: 909-623-6391
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Mailing Address
ROXANNE JORDAN AOD Certification
2445 PORTER AVE
ALTADENA, CA 91001-2743
Phone number: 818-916-8574
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