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1861517310
DOUGLAS VADER
YREKA, CA
NPI
1861517310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-20
Last Update Date
2008-03-13
Business Address
-- DOUGLAS VADER
1215 S MAIN ST
YREKA, CA 96097-3479
Phone number: 530-841-4200
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Mailing Address
-- DOUGLAS VADER
1215 S MAIN ST
YREKA, CA 96097-3479
Phone number: 530-841-4200
Copy
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