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1720677859
GEOFFREY PAUL BORK
CAMP PENDLETON, CA
NPI
1720677859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 87459)
Enumeration Date
2021-01-13
Last Update Date
2021-10-08
Business Address
GEOFFREY PAUL BORK LCSW
11TH STREET BUILDING 16105
CAMP PENDLETON, CA 92005-9200
Phone number: 760-725-5538
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Mailing Address
GEOFFREY PAUL BORK LCSW
30419 TERRAIN ST
MURRIETA, CA 92563-1822
Phone number: 619-884-2061
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