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1962041095
JORDAN WILSON
SACRAMENTO, CA
NPI
1962041095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
JORDAN WILSON
3800 WATT AVE
SACRAMENTO, CA 95821-2670
Phone number: 916-344-0249
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Mailing Address
JORDAN WILSON
2424 HURLEY WAY APT 116
SACRAMENTO, CA 95825-3655
Phone number:
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