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1780023267
SAMUEL DAVID SHERIDAN
CLEARLAKE, CA
NPI
1780023267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-18
Last Update Date
2013-06-19
Business Address
SAMUEL DAVID SHERIDAN
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
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Mailing Address
SAMUEL DAVID SHERIDAN
PO BOX 4235
CLEARLAKE, CA 95422-4235
Phone number: 707-994-7090
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