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1427790278
JACOB GORDON SALES
MARYSVILLE, CA
NPI
1427790278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-12
Last Update Date
2023-06-21
Business Address
Mr. JACOB GORDON SALES
201 D ST
MARYSVILLE, CA 95901-5952
Phone number: 530-312-5163
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Mailing Address
Mr. JACOB GORDON SALES
9917 J ST
LIVE OAK, CA 95953-2505
Phone number: 530-923-0989
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