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1982163143
JORDAN LEE CANEVARI
TACOMA, WA
NPI
1982163143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
JORDAN LEE CANEVARI
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
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Mailing Address
JORDAN LEE CANEVARI
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
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