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1952762569
JONATHAN STOCKDALE
GRASS VALLEY, CA
NPI
1952762569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-03-09
Last Update Date
2024-02-01
Business Address
JONATHAN STOCKDALE
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
JONATHAN STOCKDALE
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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