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1225703184
KEANA JORDAN
ACWORTH, GA
NPI
1225703184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA BACD646949)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
MISS KEANA JORDAN
5360 CHEROKEE ST
ACWORTH, GA 30101-7405
Phone number: 678-464-5753
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Mailing Address
MISS KEANA JORDAN
5360 CHEROKEE ST
ACWORTH, GA 30101-7405
Phone number:
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