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1184772725
MICHAEL A. ULLOA
SANTA ROSA, CA
NPI
1184772725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 15958)
Enumeration Date
2007-01-08
Last Update Date
2014-09-11
Business Address
-- MICHAEL A. ULLOA
1221 FARMERS LN
SANTA ROSA, CA 95405-6712
Phone number: 707-565-6900
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Mailing Address
-- MICHAEL A. ULLOA
1221 FARMERS LN
SANTA ROSA, CA 95405-6712
Phone number:
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