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1710396049
JEREMIAH SMART
DIAMOND SPRINGS, CA
NPI
1710396049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
-- JEREMIAH SMART
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6631
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Mailing Address
-- JEREMIAH SMART
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number:
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