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1962942235
MICAH JORDAN
BRONX, NY
NPI
1962942235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- MICAH JORDAN
329 E 149TH ST 4TH FL
BRONX, NY 10451-5601
Phone number: 718-769-2698
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Mailing Address
-- MICAH JORDAN
329 E 149TH ST 4TH FL
BRONX, NY 10451-5601
Phone number: 718-769-2698
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