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1295417343
JORDAN ELISHA CLARK
AUSTIN, TX
NPI
1295417343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
JORDAN ELISHA CLARK
9390 RESEARCH BLVD
AUSTIN, TX 78759-6585
Phone number: 512-330-9520
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Mailing Address
JORDAN ELISHA CLARK
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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