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1821667742
CHRISTOPHER JORDAN
DIXON, IL
NPI
1821667742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
CHRISTOPHER JORDAN
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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Mailing Address
CHRISTOPHER JORDAN
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number:
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