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1255961132
RYAN JORDAN
LA VERNE, CA
NPI
1255961132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 125218)
Enumeration Date
2020-01-20
Last Update Date
2021-12-03
Business Address
RYAN JORDAN
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-593-2581
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Mailing Address
RYAN JORDAN
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-593-2581
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