Carl Bruce Stater

NPI 1013085000 - Counselor - 101Y00000X

NPI Details
NPI 1013085000
Gender Male
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
474 W VERMONT AVE STE 104
ESCONDIDO CA, 92025-6584, US
Phone (176) 043-2988
Fax (176) 043-2995
Business Location
474 W VERMONT AVE STE 104
ESCONDIDO CA, 92025-6584, US
Phone (176) 043-2988
Fax (176) 043-2995
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Carl Bruce Stater NPI is 1013085000, taxonomy code is 101Y00000X Carl Bruce Stater physically located at 474 W Vermont Ave Ste 104, Escondido CA, 92025-6584. NPI Number Carl Bruce Stater has the Individual type.

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1013085000 NPI number is provided on an as is basis without warranty of any kind. 1013085000 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Bruce Stater are for informational purposes only.