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1427230366
STEPHANIE HUSTED
CLEARLAKE, CA
NPI
1427230366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
-- STEPHANIE HUSTED
14642 LAKESHORE DR SUITE C
CLEARLAKE, CA 95422-9290
Phone number: 707-995-7010
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Mailing Address
-- STEPHANIE HUSTED
14642C LAKESHORE DR # C
CLEARLAKE, CA 95422-9290
Phone number: 707-995-7010
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