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1124361761
BANITA DE ORNELAS
SAN JOSE, CA
NPI
1124361761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC53138)
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
-- BANITA DE ORNELAS LMFT
1040 LINCOLN AVE
SAN JOSE, CA 95125-3150
Phone number: 408-293-4489
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Mailing Address
-- BANITA DE ORNELAS LMFT
PO BOX 20692
SAN JOSE, CA 95160-0692
Phone number: 408-569-4994
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