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1477703635
BRUCE LANE GORDEN
SAN DIEGO, CA
NPI
1477703635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT17833)
Enumeration Date
2008-09-24
Last Update Date
2008-09-24
Business Address
-- BRUCE LANE GORDEN MFT
2333 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108-3607
Phone number: 619-298-8722
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Mailing Address
-- BRUCE LANE GORDEN MFT
2333 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108-3607
Phone number: 619-298-8722
Copy
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