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1790253789
DENZIL JORDAN
BRONX, NY
NPI
1790253789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
DENZIL JORDAN
1064 FRANKLIN AVE
BRONX, NY 10456-6704
Phone number: 718-764-1590
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Mailing Address
DENZIL JORDAN
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number:
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