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1164798260
JODY JORELL HARDGE
EUREKA, CA
NPI
1164798260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
-- JODY JORELL HARDGE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- JODY JORELL HARDGE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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