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1427684646
JORDAN CLARK
KERNERSVILLE, NC
NPI
1427684646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
JORDAN CLARK
418 W MOUNTAIN ST STE B
KERNERSVILLE, NC 27284-2534
Phone number: 704-780-4271
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Mailing Address
JORDAN CLARK
1555 NEW GARDEN RD APT 1B
GREENSBORO, NC 27410-1560
Phone number: 603-860-6718
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