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1881934230
RUSSELL LOUIS JORDAN
CORCORAN, CA
NPI
1881934230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY9800)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
DR. RUSSELL LOUIS JORDAN PH.D.
4001 KING AVE
CORCORAN, CA 93212-9611
Phone number: 559-992-8800
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Mailing Address
DR. RUSSELL LOUIS JORDAN PH.D.
4001 KING AVE
CORCORAN, CA 93212-9611
Phone number: 559-992-8800
Copy
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