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1285882092
GEORGE LAWRENCE THEISEN
SAN BERNARDINO, CA
NPI
1285882092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 41555)
Enumeration Date
2008-09-04
Last Update Date
2009-05-13
Business Address
Mr. GEORGE LAWRENCE THEISEN MFT
1911 COMMERCENTER E SUITE 101
SAN BERNARDINO, CA 92408-3454
Phone number: 909-381-3579
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Mailing Address
Mr. GEORGE LAWRENCE THEISEN MFT
PO BOX 3544
CRESTLINE, CA 92325-3544
Phone number: 909-645-9601
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