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1609527084
JORDAN TAYLOR BALENTINE
ROWLETT, TX
NPI
1609527084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-12-34567)
Enumeration Date
2022-01-17
Last Update Date
2022-01-17
Business Address
JORDAN TAYLOR BALENTINE
9500 LAKEVIEW PKWY
ROWLETT, TX 75088-4557
Phone number: 468-458-9021
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Mailing Address
JORDAN TAYLOR BALENTINE
911 N GOLIAD ST
ROCKWALL, TX 75087-2230
Phone number: 469-458-9021
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