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1164749222
ROBERT STEPHEN ULLOM
NEVADA CITY, CA
NPI
1164749222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
Mr. ROBERT STEPHEN ULLOM CASi
145 BOST AVE
NEVADA CITY, CA 95959-3249
Phone number: 530-265-9045
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Mailing Address
Mr. ROBERT STEPHEN ULLOM CASi
145 BOST AVE
NEVADA CITY, CA 95959-3249
Phone number: 530-265-9045
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