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1659560027
JERRY ALAN SHAVER
WOODLAND, CA
NPI
1659560027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
-- JERRY ALAN SHAVER
178 W BEAMER ST
WOODLAND, CA 95695-2663
Phone number: 530-666-8655
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Mailing Address
-- JERRY ALAN SHAVER
178 W. BEAMER ST.
WOODLAND, CA 95695-2663
Phone number:
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