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1538203815
VIRGIL GLENN IBERG
RIVERSIDE, CA
NPI
1538203815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA none)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Mr. VIRGIL GLENN IBERG
3768 10TH ST
RIVERSIDE, CA 92501-3621
Phone number: 951-276-3071
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Mailing Address
Mr. VIRGIL GLENN IBERG
1310 N UNIVERSITY ST
REDLANDS, CA 92374-2643
Phone number: 909-792-8810
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