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1023894573
TIMOTHY SWAN
UKIAH, CA
NPI
1023894573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
TIMOTHY SWAN
631 S ORCHARD AVE
UKIAH, CA 95482-5011
Phone number: 707-467-2010
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Mailing Address
TIMOTHY SWAN
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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