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1053550962
LISETTE E BANUELOS
INGLEWOOD, CA
NPI
1053550962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
LISETTE E BANUELOS MFTI
111 N LA BREA AVE
INGLEWOOD, CA 90301-1752
Phone number: 310-677-7808
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Mailing Address
LISETTE E BANUELOS MFTI
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number:
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