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1194031328
TRISTA JEAN SAMOLE
SANTA ROSA, CA
NPI
1194031328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-08-25
Last Update Date
2021-07-19
Business Address
TRISTA JEAN SAMOLE M.S.
1360 N DUTTON AVE STE C
SANTA ROSA, CA 95401-4668
Phone number: 707-569-0877
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Mailing Address
TRISTA JEAN SAMOLE M.S.
2323 MCBRIDE LN APT 76
SANTA ROSA, CA 95403-2964
Phone number: 720-987-9426
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