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1770243917
TY W ZIMMER
EUREKA, CA
NPI
1770243917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
TY W ZIMMER
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
TY W ZIMMER
700 SEA AVE SPC 23
EUREKA, CA 95503-5968
Phone number: 707-502-0075
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