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1316672595
JORDAN PHILLIP WATERS
MODESTO, CA
NPI
1316672595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 12233)
Enumeration Date
2022-07-21
Last Update Date
2022-08-30
Business Address
Mr. JORDAN PHILLIP WATERS Registered APCC
2000 W BRIGGSMORE AVE
MODESTO, CA 95350-3839
Phone number: 209-526-1440
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Mailing Address
Mr. JORDAN PHILLIP WATERS Registered APCC
2000 W BRIGGSMORE AVE
MODESTO, CA 95350-3839
Phone number: 209-679-3114
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