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1104833938
BRUCE ROBERT FREDENBURG
TUSTIN, CA
NPI
1104833938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC17319)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
MR. BRUCE ROBERT FREDENBURG L.M.F.T.
17542 IRVINE BLVD SUITE F
TUSTIN, CA 92780-3155
Phone number: 714-508-1919
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Mailing Address
MR. BRUCE ROBERT FREDENBURG L.M.F.T.
PO BOX 808
DANA POINT, CA 92629-0808
Phone number: 949-338-2218
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