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1063885994
JEFFERY BARNES
VALLEJO, CA
NPI
1063885994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 480002BN)
Enumeration Date
2015-10-30
Last Update Date
2015-10-30
Business Address
-- JEFFERY BARNES
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
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Mailing Address
-- JEFFERY BARNES
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
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