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1447713557
JORDAN KEVIN WOODRUFF
DRAPER, UT
NPI
1447713557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-15-2763-06274)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
JORDAN KEVIN WOODRUFF
11715 S STATE ST APT E204
DRAPER, UT 84020-6910
Phone number: 208-965-4563
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Mailing Address
JORDAN KEVIN WOODRUFF
11715 S STATE ST APT E204
DRAPER, UT 84020-6910
Phone number:
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