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1053506832
SHANE GOLDBACH
PERRIS, CA
NPI
1053506832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 58714)
Enumeration Date
2007-09-13
Last Update Date
2010-12-21
Business Address
SHANE GOLDBACH
555 N PERRIS BLVD BUILDING A
PERRIS, CA 92571-2811
Phone number: 951-436-5300
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Mailing Address
SHANE GOLDBACH
555 N PERRIS BLVD BUILDING A
PERRIS, CA 92571-2811
Phone number: 951-436-5300
Copy
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