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1700348687
JORDAN ANDREW TORDECILLA
SACRAMENTO, CA
NPI
1700348687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
JORDAN ANDREW TORDECILLA
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307
Phone number: 916-734-3630
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Mailing Address
JORDAN ANDREW TORDECILLA
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307
Phone number: 916-734-3630
Copy
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