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1992460893
AUSTIN JONATHAN JACOBSEN SCOVILLE
INDIO, CA
NPI
1992460893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
AUSTIN JONATHAN JACOBSEN SCOVILLE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 951-715-5050
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Mailing Address
AUSTIN JONATHAN JACOBSEN SCOVILLE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 951-715-5050
Copy
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