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1588308324
JORDAN TIMOTHY HARTZ
SANTA ANA, CA
NPI
1588308324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A051350819)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
JORDAN TIMOTHY HARTZ A051250819
1651 E 4TH ST STE 120
SANTA ANA, CA 92701-5141
Phone number: 572-316-2006
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Mailing Address
JORDAN TIMOTHY HARTZ A051250819
1651 E 4TH ST STE 120
SANTA ANA, CA 92701-5141
Phone number: 572-316-2006
Copy
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