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1104934777
JEFFERY SIMMONS SAMUELS
LOMA LINDA, CA
NPI
1104934777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA ASW 13978)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY SIMMONS SAMUELS M.S.W.
11201 BENTON ST VAMC/122
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
Mr. JEFFERY SIMMONS SAMUELS M.S.W.
11201 BENTON ST VAMC/122
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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