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1033137302
MICHAEL BRUNDAGE
LAGUNA HILLS, CA
NPI
1033137302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 44886)
Enumeration Date
2006-07-17
Last Update Date
2010-05-04
Business Address
-- MICHAEL BRUNDAGE LMFT
25283 CABOT RD SUITE 107
LAGUNA HILLS, CA 92653-5522
Phone number: 949-293-0382
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Mailing Address
-- MICHAEL BRUNDAGE LMFT
PO BOX 838
LAKE FOREST, CA 92609-0838
Phone number: 949-293-0382
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