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1437454758
DANIEL JENKINS
TRUCKEE, CA
NPI
1437454758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
DANIEL JENKINS
10015 PALISADES DR SUITE 1
TRUCKEE, CA 96161-1970
Phone number: 530-273-9541
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Mailing Address
DANIEL JENKINS
440 HENDERSON ST SUITE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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