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1831304815
JAYTEE MICAEL WEATHERBIE
WOODLAND, CA
NPI
1831304815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- JAYTEE MICAEL WEATHERBIE
804 COURT ST
WOODLAND, CA 95695-3517
Phone number: 530-668-2400
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Mailing Address
-- JAYTEE MICAEL WEATHERBIE
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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