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1588201933
JONATHAN DAVID FORD-PETERSON
EUREKA, CA
NPI
1588201933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
JONATHAN DAVID FORD-PETERSON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
JONATHAN DAVID FORD-PETERSON
1042 GROSS RD
MCKINLEYVILLE, CA 95519-8148
Phone number: 707-407-8440
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