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1689917510
BROOKE J JORDAN
SAN LUIS OBISPO, CA
NPI
1689917510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36330)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- BROOKE J JORDAN PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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Mailing Address
-- BROOKE J JORDAN PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
Copy
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