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1013081512
PAUL ANTHONY PRUSAK
OROVILLE, CA
NPI
1013081512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mr. PAUL ANTHONY PRUSAK
18 COUNTY CENTER DRIVE
OROVILLE, CA 95965
Phone number: 530-538-7705
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Mailing Address
Mr. PAUL ANTHONY PRUSAK
94 GREENBRIER DR
OROVILLE, CA 95966
Phone number:
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