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1790262459
SAVANNAH KOPPENHAVER
UKIAH, CA
NPI
1790262459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
SAVANNAH KOPPENHAVER
810 N STATE ST
UKIAH, CA 95482-3410
Phone number: 707-462-7267
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Mailing Address
SAVANNAH KOPPENHAVER
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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