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1639212715
TIMOTHY EASTERBROOK
UKIAH, CA
NPI
1639212715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
TIMOTHY EASTERBROOK
290 E GOBBI ST
UKIAH, CA 95482-5559
Phone number: 707-463-3300
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Mailing Address
TIMOTHY EASTERBROOK
13000 TOMKI RD
REDWOOD VALLEY, CA 95470-9531
Phone number: 707-485-8249
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