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1790401552
JORDAN BLACK
COLORADO SPRINGS, CO
NPI
1790401552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
JORDAN BLACK
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108
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Mailing Address
JORDAN BLACK
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108
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