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1033612742
JEFFERY M OSTROM
AUBURN, CA
NPI
1033612742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
JEFFERY M OSTROM
12183 LOCKSLEY LN STE 201
AUBURN, CA 95602-2052
Phone number: 530-878-5166
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Mailing Address
JEFFERY M OSTROM
PO BOX 6028
AUBURN, CA 95604-6028
Phone number: 530-878-5166
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