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1023216371
SCOTT W LANDIS
EUREKA, CA
NPI
1023216371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
-- SCOTT W LANDIS
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- SCOTT W LANDIS
4525 KJER RD APT. #B
MCKINLEYVILLE, CA 95519-8020
Phone number: 707-840-0494
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