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1023337409
EARL JEFFERSON
VALLEJO, CA
NPI
1023337409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-05-24
Last Update Date
2023-02-06
Business Address
EARL JEFFERSON
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number: 510-899-3704
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Mailing Address
EARL JEFFERSON
3201 CURRAN AVE
OAKLAND, CA 94602-2825
Phone number: 707-208-2348
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