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1891414041
MALLORIE JORDAN
MERIDIAN, ID
NPI
1891414041
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Other Name
KAI JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
MALLORIE JORDAN
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642-4477
Phone number: 208-518-0870
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Mailing Address
MALLORIE JORDAN
1435 JORDAN LN
EMMETT, ID 83617-9413
Phone number: 208-477-4792
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