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1598800856
STACY LEE JURGENS
SAN JOSE, CA
NPI
1598800856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 50139)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Miss STACY LEE JURGENS
455 SILICON VALLEY BLVD
SAN JOSE, CA 95138-1858
Phone number: 408-284-9084
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Mailing Address
Miss STACY LEE JURGENS
5210 TERNER WAY APT 239
SAN JOSE, CA 95136-4162
Phone number: 408-930-4938
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