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1942785209
JORDAN RICO
SANTA ROSA, CA
NPI
1942785209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
JORDAN RICO
160 WIKIUP DR
SANTA ROSA, CA 95403-7775
Phone number: 707-843-3745
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Mailing Address
JORDAN RICO
160 WIKIUP DR
SANTA ROSA, CA 95403-7775
Phone number:
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