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1447357066
GUINIVERE ANN BORK
PLACERVILLE, CA
NPI
1447357066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc 34605)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
-- GUINIVERE ANN BORK MFT
319 MAIN ST SUITE 7
PLACERVILLE, CA 95667-5605
Phone number: 530-344-8019
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Mailing Address
-- GUINIVERE ANN BORK MFT
PO BOX 1653
PLACERVILLE, CA 95667-1653
Phone number: 530-344-8019
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