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1457062499
DARRYL ROBERT JORDAN
DETROIT, MI
NPI
1457062499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
DARRYL ROBERT JORDAN
7375 WOODWARD AVE STE 2800
DETROIT, MI 48202-3157
Phone number: 248-599-1582
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Mailing Address
DARRYL ROBERT JORDAN
2730 WOODSTOCK DR
HIGHLAND PARK, MI 48203-1065
Phone number: 313-613-1522
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