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1770088908
DYANNA LYNN JORDAN
HESPERIA, CA
NPI
1770088908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
Ms. DYANNA LYNN JORDAN
11776 MARIPOSA RD # 103
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
Ms. DYANNA LYNN JORDAN
19038 ALLEGHENY RD
APPLE VALLEY, CA 92307-2504
Phone number: 760-694-1768
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