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1972019362
GEORGE EDGAR KRUSE
EUREKA, CA
NPI
1972019362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci07300317)
Enumeration Date
2017-12-20
Last Update Date
2018-01-19
Business Address
GEORGE EDGAR KRUSE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
GEORGE EDGAR KRUSE
2245 PARKWOOD BLVD
EUREKA, CA 95503-7042
Phone number:
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