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1538871959
JORDAN DANTE MOORE
HAYWARD, CA
NPI
1538871959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
JORDAN DANTE MOORE
2583 SULPHUR DR
HAYWARD, CA 94541-5653
Phone number: 209-407-9235
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Mailing Address
JORDAN DANTE MOORE
1880 FAIRWAY DR
SAN LEANDRO, CA 94577-5629
Phone number:
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