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1942909080
JORDAN STEVENS RIBEIRA
MODESTO, CA
NPI
1942909080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
JORDAN STEVENS RIBEIRA
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
JORDAN STEVENS RIBEIRA
1700 N TULLY RD APT A102
TURLOCK, CA 95380-6812
Phone number: 209-552-5169
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