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1386267862
WILLIAM ERIKSEN JORDAN
HUNTSVILLE, AL
NPI
1386267862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AL C3458A)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
WILLIAM ERIKSEN JORDAN
2812 DRAKE AVE SW
HUNTSVILLE, AL 35805-5122
Phone number: 256-529-4673
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Mailing Address
WILLIAM ERIKSEN JORDAN
1406 WELLMAN AVE NE
HUNTSVILLE, AL 35801-1934
Phone number:
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