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1013085000
CARL BRUCE STATER
ESCONDIDO, CA
NPI
1013085000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- CARL BRUCE STATER
474 W VERMONT AVE STE 104
ESCONDIDO, CA 92025-6584
Phone number: 176-043-2988
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Mailing Address
-- CARL BRUCE STATER
474 W VERMONT AVE STE 104
ESCONDIDO, CA 92025-6584
Phone number: 176-043-2988
Copy
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