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1871331397
SHELBY JORDAN
BLOOMINGTON, IN
NPI
1871331397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-23-264432)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
SHELBY JORDAN
4101 E 3RD ST
BLOOMINGTON, IN 47401-5539
Phone number: 812-318-4494
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Mailing Address
SHELBY JORDAN
2815 E 3RD ST # 1011
BLOOMINGTON, IN 47401-5434
Phone number: 812-318-4494
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