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1063546083
CARL FREDERICK JEFFERSON
GRASS VALLEY, CA
NPI
1063546083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-14
Last Update Date
2023-12-28
Business Address
Mr. CARL FREDERICK JEFFERSON C.A.S.
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-470-2759
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Mailing Address
Mr. CARL FREDERICK JEFFERSON C.A.S.
13419 MCKITRICK RANCH RD
NEVADA CITY, CA 95959-9740
Phone number: 530-277-8809
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