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1952505646
KURT THOMAS CHURCHILL
SANTA CRUZ, CA
NPI
1952505646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- KURT THOMAS CHURCHILL
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-5275
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Mailing Address
-- KURT THOMAS CHURCHILL
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-5275
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