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1023363074
MICHAEL KORNBLUTH
ORANGE, CA
NPI
1023363074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 72523)
Enumeration Date
2012-07-16
Last Update Date
2012-09-10
Business Address
-- MICHAEL KORNBLUTH
812 W TOWN AND COUNTRY RD
ORANGE, CA 92868-4712
Phone number: 714-547-6494
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Mailing Address
-- MICHAEL KORNBLUTH
812 W TOWN AND COUNTRY RD
ORANGE, CA 92868-4712
Phone number: 714-547-6494
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