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1033499165
BRUCE GENE MALCOLM
APPLE VALLEY, CA
NPI
1033499165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 70965)
Enumeration Date
2011-08-20
Last Update Date
2012-09-26
Business Address
Mr. BRUCE GENE MALCOLM
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-255-1496
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Mailing Address
Mr. BRUCE GENE MALCOLM
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-242-6336
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