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1366025512
DEREK STEVEN EASTEP
UKIAH, CA
NPI
1366025512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
DEREK STEVEN EASTEP
148 CLARA AVE
UKIAH, CA 95482-4002
Phone number: 707-462-1932
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Mailing Address
DEREK STEVEN EASTEP
148 CLARA AVE
UKIAH, CA 95482-4002
Phone number: 707-462-1932
Copy
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