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1962137455
JORDAN PHILIP TENNISON
GOLETA, CA
NPI
1962137455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
JORDAN PHILIP TENNISON
4444 CALLE REAL
GOLETA, CA 93110-1002
Phone number: 805-884-1600
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Mailing Address
JORDAN PHILIP TENNISON
5511 CATHEDRAL OAKS RD
SANTA BARBARA, CA 93111-1405
Phone number: 747-250-1701
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