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1861046690
JORDAN BLACKWELL
ROSEVILLE, CA
NPI
1861046690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
JORDAN BLACKWELL
730 SUNRISE AVE
ROSEVILLE, CA 95661-4567
Phone number: 916-773-0211
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Mailing Address
JORDAN BLACKWELL
3400 MARLEE WAY
ROCKLIN, CA 95677-4701
Phone number:
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