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1770769655
ANTONIA JORDAN
VAN NUYS, CA
NPI
1770769655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
-- ANTONIA JORDAN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
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Mailing Address
-- ANTONIA JORDAN
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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