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1104160118
ALEXIS ROSEN
CANYON LAKE, CA
NPI
1104160118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 72406)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Ms. ALEXIS ROSEN
22661 GRAY FOX DR
CANYON LAKE, CA 92587-7584
Phone number: 909-732-2575
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Mailing Address
Ms. ALEXIS ROSEN
22661 GRAY FOX DR
CANYON LAKE, CA 92587-7584
Phone number: 909-732-2575
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