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1912578220
LUKE JACOB AUST
SANTA ROSA, CA
NPI
1912578220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
LUKE JACOB AUST
1550 N DUTTON AVE
SANTA ROSA, CA 95401-4601
Phone number: 707-919-4767
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Mailing Address
LUKE JACOB AUST
1550 N DUTTON AVE
SANTA ROSA, CA 95401-4601
Phone number: 707-919-4767
Copy
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