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1821613969
JORDYN KRIS WOHLGEFAHRT
GULFPORT, MS
NPI
1821613969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MS RBT-20-121919)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
JORDYN KRIS WOHLGEFAHRT
9230 OLD LORRAINE RD
GULFPORT, MS 39503-6059
Phone number: 228-731-3500
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Mailing Address
JORDYN KRIS WOHLGEFAHRT
12464 PINEHURST CT
GULFPORT, MS 39503-7678
Phone number: 414-242-8342
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