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1902574478
ALICE BURGARD
VISTA, CA
NPI
1902574478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci13000418)
Enumeration Date
2021-08-31
Last Update Date
2021-08-31
Business Address
ALICE BURGARD
733 S SANTA FE AVE
VISTA, CA 92083-5939
Phone number: 760-945-5290
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Mailing Address
ALICE BURGARD
733 S SANTA FE AVE
VISTA, CA 92083-5939
Phone number:
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