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1437376464
JET LOUISE DEKRUSE
EUREKA, CA
NPI
1437376464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc22590)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Ms. JET LOUISE DEKRUSE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Ms. JET LOUISE DEKRUSE
221 RUSSELL LN
ARCATA, CA 95521-9292
Phone number: 707-822-3942
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