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1538490115
JEFFREY LEE EBBAGE
SANTA CRUZ, CA
NPI
1538490115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 91247)
Enumeration Date
2010-01-21
Last Update Date
2017-01-19
Business Address
-- JEFFREY LEE EBBAGE
709 MISSION ST
SANTA CRUZ, CA 95060-3614
Phone number: 831-429-8350
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Mailing Address
-- JEFFREY LEE EBBAGE
709 MISSION ST
SANTA CRUZ, CA 95060-3614
Phone number: 831-429-8350
Copy
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