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1053637371
ANTHONY MICELI
MODESTO, CA
NPI
1053637371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 53523)
Enumeration Date
2010-04-12
Last Update Date
2021-12-20
Business Address
ANTHONY MICELI
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
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Mailing Address
ANTHONY MICELI
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
Copy
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