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1043680804
LEE OBERG
SANTA CRUZ, CA
NPI
1043680804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-O131220103)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- LEE OBERG
8030 SOQUEL AVE SUITE 103
SANTA CRUZ, CA 95062-2096
Phone number: 831-476-1124
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Mailing Address
-- LEE OBERG
149 BENITO AVE
SANTA CRUZ, CA 95062-2112
Phone number: 831-278-0932
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