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1689819278
JORDEN NICHOLE WAVEREK
CAMARILLO, CA
NPI
1689819278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
MS. JORDEN NICHOLE WAVEREK
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
MS. JORDEN NICHOLE WAVEREK
1339 NATHAN LN
VENTURA, CA 93001-4010
Phone number: 805-766-0809
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