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1366905051
MARC JAY PEDERSEN
SANTA ROSA, CA
NPI
1366905051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1339900319)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
Prof. MARC JAY PEDERSEN
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2950
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Mailing Address
Prof. MARC JAY PEDERSEN
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2950
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