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1093954505
CHARLES ALAN BERGQUIST
SANTA BARBARA, CA
NPI
1093954505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-08
Last Update Date
2009-02-08
Business Address
Mr. CHARLES ALAN BERGQUIST
712 N ALISOS ST
SANTA BARBARA, CA 93103-2402
Phone number: 805-962-5450
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Mailing Address
Mr. CHARLES ALAN BERGQUIST
712 N ALISOS ST
SANTA BARBARA, CA 93103-2402
Phone number: 805-962-5450
Copy
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