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1003943960
ERIC CARL VEDBORG
EUREKA, CA
NPI
1003943960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 36406)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- ERIC CARL VEDBORG LMFT
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2935
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Mailing Address
-- ERIC CARL VEDBORG LMFT
PO BOX 574
FORTUNA, CA 95540-0574
Phone number: 707-268-2935
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