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1356478879
JAN PHALLEN-FIKE
UKIAH, CA
NPI
1356478879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
JAN PHALLEN-FIKE
290 E GOBBI ST
UKIAH, CA 95482-5559
Phone number: 707-463-3300
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Mailing Address
JAN PHALLEN-FIKE
PO BOX 1660
WILLITS, CA 95490-1660
Phone number:
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