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1518725316
JORDAN DAVID PANCHU
SURPRISE, AZ
NPI
1518725316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
JORDAN DAVID PANCHU
17617 W VOLTAIRE ST
SURPRISE, AZ 85388-5058
Phone number: 480-329-7188
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Mailing Address
JORDAN DAVID PANCHU
17617 W VOLTAIRE ST
SURPRISE, AZ 85388-5058
Phone number: 480-329-7188
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