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1124313655
MICHAEL A TIPTON
EUREKA, CA
NPI
1124313655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- MICHAEL A TIPTON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- MICHAEL A TIPTON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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