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1750983052
MARCUS JORDAN
GRAND RAPIDS, MI
NPI
1750983052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
MARCUS JORDAN
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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Mailing Address
MARCUS JORDAN
1300 LONGCREEK DR APT 1123
COLUMBIA, SC 29210-8368
Phone number:
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