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1295219160
JORDAN EXTINE
MUNCIE, IN
NPI
1295219160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
JORDAN EXTINE
3620 W WHITE RIVER BLVD
MUNCIE, IN 47304-4286
Phone number: 765-288-1928
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Mailing Address
JORDAN EXTINE
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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