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1043671654
NATHAN MICHAEL SHOOK
GRASS VALLEY, CA
NPI
1043671654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
Mr. NATHAN MICHAEL SHOOK
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9803
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Mailing Address
Mr. NATHAN MICHAEL SHOOK
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9803
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