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1770790826
JAMES RUSSEL LUPER
SANTA ROSA, CA
NPI
1770790826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC42057)
Enumeration Date
2007-05-17
Last Update Date
2015-03-27
Business Address
Mr. JAMES RUSSEL LUPER MA, MFT
200 MONTGOMERY DR SUITE C
SANTA ROSA, CA 95404-6633
Phone number: 707-529-1247
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Mailing Address
Mr. JAMES RUSSEL LUPER MA, MFT
2665 SANTA ROSA AVE # 175
SANTA ROSA, CA 95407-7683
Phone number: 707-529-1247
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