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1689994212
BRUCE WALLACE BATES
VENTURA, CA
NPI
1689994212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 36597)
Enumeration Date
2010-06-05
Last Update Date
2010-06-05
Business Address
-- BRUCE WALLACE BATES MFT
1304 E MAIN ST STE D
VENTURA, CA 93001-3202
Phone number: 310-579-5002
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Mailing Address
-- BRUCE WALLACE BATES MFT
1304 E MAIN ST STE D
VENTURA, CA 93001-3202
Phone number: 310-579-5002
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