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1548934110
JACK O'DEA
SANTA ROSA, CA
NPI
1548934110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-05
Last Update Date
2021-08-06
Business Address
JACK O'DEA
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405-7815
Phone number: 707-544-3299
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Mailing Address
JACK O'DEA
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405-7815
Phone number: 707-544-3299
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