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1336974724
BASHEBA JAZEL JORDAN
WINSTON SALEM, NC
NPI
1336974724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
BASHEBA JAZEL JORDAN
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1160
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Mailing Address
BASHEBA JAZEL JORDAN
5755 BONNERTON RD
EDWARD, NC 27821-9712
Phone number: 252-497-6621
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