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1821126178
IAN THOMAS TAEREA
EUREKA, CA
NPI
1821126178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
MR. IAN THOMAS TAEREA
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
MR. IAN THOMAS TAEREA
414 WATSON ST APT C PO BOX 6602
EUREKA, CA 95501-2383
Phone number: 707-834-1007
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