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1275737421
KURT STURGEON
SOUTH LAKE TAHOE, CA
NPI
1275737421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RS9203)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Mr. KURT STURGEON
921 MACINAW RD SUITE 2
SOUTH LAKE TAHOE, CA 96150-3525
Phone number: 530-541-5440
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Mailing Address
Mr. KURT STURGEON
1641 NADOWA ST
SOUTH LAKE TAHOE, CA 96150-5833
Phone number: 808-280-0026
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