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1417490558
THOMAS KILLEBREW
UKIAH, CA
NPI
1417490558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-21
Last Update Date
2017-02-06
Business Address
-- THOMAS KILLEBREW
350 E GOBBI ST
UKIAH, CA 95482-5511
Phone number: 707-472-2922
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Mailing Address
-- THOMAS KILLEBREW
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-472-2922
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