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1891923579
COLBY SHANE BEACH
EUREKA, CA
NPI
1891923579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-07-01
Last Update Date
2009-07-01
Business Address
-- COLBY SHANE BEACH
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- COLBY SHANE BEACH
601 SEA AVE
EUREKA, CA 95503-1301
Phone number: 831-246-0962
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