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1912348491
JONATHAN VICKBURG
LOS ANGELES, CA
NPI
1912348491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC50480)
Enumeration Date
2013-07-11
Last Update Date
2014-02-11
Business Address
-- JONATHAN VICKBURG LMFT
554 S SAN VICENTE BLVD SUITE 110
LOS ANGELES, CA 90048-4647
Phone number: 424-832-6565
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Mailing Address
-- JONATHAN VICKBURG LMFT
554 S SAN VICENTE BLVD SUITE 110
LOS ANGELES, CA 90048-4647
Phone number:
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