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1376256677
LARRY JORDAN
WINSTON SALEM, NC
NPI
1376256677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 27079472)
Enumeration Date
2023-01-02
Last Update Date
2023-01-02
Business Address
LARRY JORDAN
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
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Mailing Address
LARRY JORDAN
2755 WESTRIDGE RD
WINSTON SALEM, NC 27103-4222
Phone number:
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