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1952773483
JORDAN A DORMER
LAKELAND, FL
NPI
1952773483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2015-10-23
Last Update Date
2022-05-31
Business Address
JORDAN A DORMER
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 941-380-0301
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Mailing Address
JORDAN A DORMER
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 941-380-0301
Copy
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