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1134780836
JENNIFER C VAN WORMER
FORT BRAGG, CA
NPI
1134780836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
JENNIFER C VAN WORMER
137 E OAK ST
FORT BRAGG, CA 95437-3610
Phone number: 707-345-4012
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Mailing Address
JENNIFER C VAN WORMER
137 E OAK ST
FORT BRAGG, CA 95437-3610
Phone number: 707-345-4012
Copy
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