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1891977419
JEFFREY SCOTT PETERSEN
GRASS VALLEY, CA
NPI
1891977419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-05
Last Update Date
2023-12-28
Business Address
Mr. JEFFREY SCOTT PETERSEN
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9514
Phone number: 530-265-1437
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Mailing Address
Mr. JEFFREY SCOTT PETERSEN
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9514
Phone number: 530-265-1437
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