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1972377133
JORDAN DICKERSON
FRESNO, CA
NPI
1972377133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00019498)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
JORDAN DICKERSON
5140 N FRUIT AVE
FRESNO, CA 93711-3022
Phone number: 877-242-2884
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Mailing Address
JORDAN DICKERSON
5140 N FRUIT AVE
FRESNO, CA 93711-3022
Phone number: 877-242-2884
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