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1215654587
JORDAN MATTHEW TOM
TACOMA, WA
NPI
1215654587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
JORDAN MATTHEW TOM
3704 N 35TH ST
TACOMA, WA 98407-6033
Phone number: 206-580-6940
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Mailing Address
JORDAN MATTHEW TOM
4733 ROOSEVELT WAY NE
SEATTLE, WA 98105-4723
Phone number: 503-523-9465
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