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1407453285
KELLIE JEAN JORDAN
PORTLAND, OR
NPI
1407453285
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Former Name
KELLIE JEAN TRIPP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
KELLIE JEAN JORDAN
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 888-805-0759
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Mailing Address
KELLIE JEAN JORDAN
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6853
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