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1366297772
VIVIAN FLOR JORDAN LOPEZ
GRAND RAPIDS, MI
NPI
1366297772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
VIVIAN FLOR JORDAN LOPEZ
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546-3691
Phone number: 844-854-1116
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Mailing Address
VIVIAN FLOR JORDAN LOPEZ
1500 S DOUGLAS RD
CORAL GABLES, FL 33134-4108
Phone number: 844-854-1116
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