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1255898540
JORDAN RICHARD SANDEFUR
VALLEJO, CA
NPI
1255898540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-02-22
Last Update Date
2019-02-24
Business Address
JORDAN RICHARD SANDEFUR
150 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591-7237
Phone number: 707-553-1784
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Mailing Address
JORDAN RICHARD SANDEFUR
615 CHYRL WAY
SUISUN CITY, CA 94585-1903
Phone number: 707-332-4507
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