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1508549494
JONATHON PATRICK MATOUSEK
GRASS VALLEY, CA
NPI
1508549494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
Mr. JONATHON PATRICK MATOUSEK
256 BUENA VISTA ST STE 100
GRASS VALLEY, CA 95945-7239
Phone number: 530-274-2000
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Mailing Address
Mr. JONATHON PATRICK MATOUSEK
256 BUENA VISTA ST STE 100
GRASS VALLEY, CA 95945-7239
Phone number: 530-274-2000
Copy
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