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1316414022
TRISTIN FRANCIS SEVERNS
EUREKA, CA
NPI
1316414022
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Former Name
TRISTIN FRANCIS HURN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
TRISTIN FRANCIS SEVERNS
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
TRISTIN FRANCIS SEVERNS
433 M ST
EUREKA, CA 95501-0540
Phone number:
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