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1043782147
NERCY LISBETH BASULTO FUENTES
EL DORADO HILLS, CA
NPI
1043782147
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Former Name
NERCY LISBETH PADILLA-FUENTES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2018-12-30
Last Update Date
2024-09-26
Business Address
NERCY LISBETH BASULTO FUENTES
1035 SUNCAST LN STE 120
EL DORADO HILLS, CA 95762-9339
Phone number: 916-345-4320
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Mailing Address
NERCY LISBETH BASULTO FUENTES
1570 DAUNTING DR
EL DORADO HILLS, CA 95762-7658
Phone number: 479-882-2393
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