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1861104879
JORDAN SIFUENTES
KENNEWICK, WA
NPI
1861104879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
JORDAN SIFUENTES
10505 W CLEARWATER AVE
KENNEWICK, WA 99336-8613
Phone number: 509-378-5553
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Mailing Address
JORDAN SIFUENTES
10505 W CLEARWATER AVE
KENNEWICK, WA 99336-8613
Phone number: 509-378-5553
Copy
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