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1710161229
MATTHEW B REVEIS
GRASS VALLEY, CA
NPI
1710161229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: CA 922935507)
Enumeration Date
2007-12-19
Last Update Date
2007-12-19
Business Address
Mr. MATTHEW B REVEIS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
Mr. MATTHEW B REVEIS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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