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1154183341
FREDERICK S STANLEY
SANTA CRUZ, CA
NPI
1154183341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA mpss-wfiucd)
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
FREDERICK S STANLEY
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
FREDERICK S STANLEY
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Copy
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