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1881830099
KYB FUGFUGOSH
BERKELEY, CA
NPI
1881830099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-12-18
Last Update Date
2008-12-18
Business Address
Mr. KYB FUGFUGOSH
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
Mr. KYB FUGFUGOSH
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Copy
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