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1154512366
STEFAN DETHLEFSEN
ESCONDIDO, CA
NPI
1154512366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF # 62123)
Enumeration Date
2007-08-05
Last Update Date
2011-03-17
Business Address
Mr. STEFAN DETHLEFSEN
17701 SAN PASQUAL VALLEY RD
ESCONDIDO, CA 92025-5301
Phone number: 760-741-4300
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Mailing Address
Mr. STEFAN DETHLEFSEN
17701 SAN PASQUAL VALLEY RD
ESCONDIDO, CA 92025-5301
Phone number: 760-741-4300
Copy
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