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1063842631
EDWARD RAYMOND FUENTES
FULLERTON, CA
NPI
1063842631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 105637)
Enumeration Date
2013-11-19
Last Update Date
2020-05-18
Business Address
EDWARD RAYMOND FUENTES
401 E. IMPERIAL HWY
FULLERTON, CA 92835-1145
Phone number: 714-447-7000
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Mailing Address
EDWARD RAYMOND FUENTES
401 E. IMPERIAL HWY
FULLERTON, CA 92835-1145
Phone number: 714-447-7000
Copy
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