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1962018416
JACOB NATHANIEL MCCOARD
REDDING, CA
NPI
1962018416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
JACOB NATHANIEL MCCOARD
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5507
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Mailing Address
JACOB NATHANIEL MCCOARD
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5507
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