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1104551720
JEFFREY A STEWART
CITRUS HEIGHTS, CA
NPI
1104551720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: CA 85-2000467)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
JEFFREY A STEWART DO
7733 GINGERBLOSSOM DR
CITRUS HEIGHTS, CA 95621-1919
Phone number: 916-745-4664
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Mailing Address
JEFFREY A STEWART DO
PO BOX 582165
ELK GROVE, CA 95758-0037
Phone number: 707-704-0357
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