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1699255034
JORDAN JORDAN
CERES, CA
NPI
1699255034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
JORDAN JORDAN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7434
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Mailing Address
JORDAN JORDAN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number:
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