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1013219773
IVAN FERNANDO SOTO
PASADENA, CA
NPI
1013219773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF94490)
Enumeration Date
2010-11-30
Last Update Date
2018-03-17
Business Address
IVAN FERNANDO SOTO
210 S DE LACEY AVE STE 110
PASADENA, CA 91105-2074
Phone number: 626-395-7100
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Mailing Address
IVAN FERNANDO SOTO
210 S DE LACEY AVE STE 110
PASADENA, CA 91105-2074
Phone number: 626-395-7100
Copy
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