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1972212868
JORDAN TERRELL PEPPERS
ELK GROVE, CA
NPI
1972212868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00017943)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
JORDAN TERRELL PEPPERS
2366 MARITIME DR
ELK GROVE, CA 95758-3639
Phone number: 916-215-5754
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Mailing Address
JORDAN TERRELL PEPPERS
6550 KENBRIDGE ST
ELK GROVE, CA 95758-6313
Phone number: 916-215-5754
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