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1114035235
MIKE FATULA
WEST HOLLYWOOD, CA
NPI
1114035235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA M15257)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
-- MIKE FATULA MS, MFT
519 N LA CIENEGA BLVD #16
WEST HOLLYWOOD, CA 90048-2007
Phone number: 323-422-9433
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Mailing Address
-- MIKE FATULA MS, MFT
7985 SANTA MONICA BLVD #109 - 18
WEST HOLLYWOOD, CA 90046-5074
Phone number: 323-422-9433
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