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1629709894
AMETHYST JORDAN
EVANS, GA
NPI
1629709894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-22-221374)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
AMETHYST JORDAN
7013 EVANS TOWN CENTER BLVD STE 401
EVANS, GA 30809-4317
Phone number: 706-842-5330
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Mailing Address
AMETHYST JORDAN
525 8TH ST P.O. BOX 2567
AUGUSTA, GA 30901-9998
Phone number: 706-842-5330
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