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Jeanie Lyn Ibbotson
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NPI Number Detailed Information
Provider Information:
| Name: | Jeanie Lyn Ibbotson |
| Gender: | F |
| Provider License Number If Given: |
NPI Information:
| NPI: | 1104047588 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 5/1/2007 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 714 W MAIN ST Grass Valley, CA 95945 |
| Phone Number: | |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 11855 SLOW POKE LN Grass Valley, CA 95945 |
| Phone Number: | 5302735886 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 322D00000X |
| Secondary (if any): | |
| State: | CA |
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About Jeanie Lyn Ibbotson
Jeanie Lyn Ibbotson ( JEANIE LYN IBBOTSON ) is A Residential Treatment Facility, Emotionally Disturbed Children Physician in Grass Valley, CA.
The NPI Number for Jeanie Lyn Ibbotson is 1104047588.
The current location address for Jeanie Lyn Ibbotson is 11855 SLOW POKE LN Grass Valley, CA 95945 and the contact number is and fax number is .
The mailing address for Jeanie Lyn Ibbotson is 714 W MAIN ST Grass Valley, CA 95945- 5302735886 (mailing address contact number - ).
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Provider Business Location on Map
FAQs:
What is the NPI Number for Jeanie Lyn Ibbotson ?
Answer: The NPI Number for Jeanie Lyn Ibbotson is 1104047588
Where is Jeanie Lyn Ibbotson located?
Answer: Jeanie Lyn Ibbotson is located at 11855 SLOW POKE LN Grass Valley, CA 95945.
What is the specialty for Jeanie Lyn Ibbotson ?
Answer: The Specialty of Jeanie Lyn Ibbotson is A Residential Treatment Facility, Emotionally Disturbed Children Physician.
Are there any online reviews for Jeanie Lyn Ibbotson ?
Answer: Not yet!
Are there any other health care providers in Grass Valley, CA?
Answer: Yes, there are given below...
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Jeanie Lyn Ibbotson in Other Directories
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