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1831781475
JORDAN SCOTT WEATHERSPOON
GRAND RAPIDS, MI
NPI
1831781475
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Other Name
OSIRIS SCOTT WEATHERSPOON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-04
Last Update Date
2021-02-05
Business Address
Mr. JORDAN SCOTT WEATHERSPOON
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 855-832-6727
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Mailing Address
Mr. JORDAN SCOTT WEATHERSPOON
16789 CHANDLER RD APT 514B
EAST LANSING, MI 48823-8578
Phone number: 517-619-9080
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