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1275002917
DENELE ELYSSE BERGMANN
SANTA CRUZ, CA
NPI
1275002917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-23
Last Update Date
2018-11-23
Business Address
DENELE ELYSSE BERGMANN
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
DENELE ELYSSE BERGMANN
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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