Carl Bruce Stater
Carl Bruce Stater is a Counselor in Escondido, California. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
474 W Vermont Ave Ste 104Escondido, CA 92025-6584
Phone: (176) 043-2988
Fax: (176) 043-2995
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1013085000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 |
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