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1700068145
MARK EHREDT
FAIRFIELD, CA
NPI
1700068145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA rrw)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
Mr. MARK EHREDT rrw
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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Mailing Address
Mr. MARK EHREDT rrw
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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