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1770092629
JACOB COLONGIONE
GRASS VALLEY, CA
NPI
1770092629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-22
Last Update Date
2017-09-22
Business Address
JACOB COLONGIONE
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
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Mailing Address
JACOB COLONGIONE
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
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