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1386852606
JOHN MATHIS
UKIAH, CA
NPI
1386852606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- JOHN MATHIS
840 S OAK ST
UKIAH, CA 95482-5777
Phone number: 707-472-0653
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Mailing Address
-- JOHN MATHIS
840 S OAK ST
UKIAH, CA 95482-5777
Phone number:
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