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1053837096
THAD L ACKERMAN
EUREKA, CA
NPI
1053837096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95108869)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
THAD L ACKERMAN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
THAD L ACKERMAN
1291 JULIENTON DR NE
TOWNSEND, GA 31331-5011
Phone number: 912-660-3652
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