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1972187888
JORDAN TAM
SAN DIEGO, CA
NPI
1972187888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-21-166350)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
JORDAN TAM
2667 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108-3763
Phone number: 619-782-0700
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Mailing Address
JORDAN TAM
8030 LA MESA BLVD STE 25
LA MESA, CA 91942-0335
Phone number: 619-782-0700
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