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1336750728
MALCOLM BERNARD JORDAN
COLORADO SPRINGS, CO
NPI
1336750728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
MALCOLM BERNARD JORDAN
1930 FREQUENT FLYER PT
COLORADO SPRINGS, CO 80915-1500
Phone number: 512-820-9096
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Mailing Address
MALCOLM BERNARD JORDAN
1930 FREQUENT FLYER PT
COLORADO SPRINGS, CO 80915-1500
Phone number: 512-820-9096
Copy
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