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1215054572
PATRICK RICHARD JENISON
AUBURN, CA
NPI
1215054572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mr. PATRICK RICHARD JENISON
11716 ENTERPRISE DR
AUBURN, CA 95603-3732
Phone number: 916-787-8882
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Mailing Address
Mr. PATRICK RICHARD JENISON
PO BOX 212
ROSEVILLE, CA 95661-0212
Phone number: 916-787-8882
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