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1952631707
JOSEPH JACOB FESTERSEN
NEVADA CITY, CA
NPI
1952631707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9853)
Enumeration Date
2009-12-29
Last Update Date
2009-12-29
Business Address
-- JOSEPH JACOB FESTERSEN none
727 ZION ST
NEVADA CITY, CA 95959-2920
Phone number: 530-265-2914
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Mailing Address
-- JOSEPH JACOB FESTERSEN none
727 ZION ST
NEVADA CITY, CA 95959-2920
Phone number: 530-265-2914
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