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1720721913
JORDAN LYNN RUSSELL
WALNUT CREEK, CA
NPI
1720721913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: 106S00000)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
JORDAN LYNN RUSSELL
800 S BROADWAY STE 310
WALNUT CREEK, CA 94596-5218
Phone number: 888-531-8385
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Mailing Address
JORDAN LYNN RUSSELL
207 ARANA DR
MARTINEZ, CA 94553-4605
Phone number:
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