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1831363449
RICHARD VAN GOETHEM
ESCONDIDO, CA
NPI
1831363449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 465143)
Enumeration Date
2008-04-15
Last Update Date
2023-04-07
Business Address
Mr. RICHARD VAN GOETHEM
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026-1267
Phone number: 760-556-8648
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Mailing Address
Mr. RICHARD VAN GOETHEM
25143 JACK RABBIT ACRES, ESCONDIDO, CA 92025
SAN DIEGO, CA 92025
Phone number: 760-566-8648
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