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1124459847
GEORGE FUENTES
SANTA ANA, CA
NPI
1124459847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 126073)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-12-05
Last Update Date
2021-06-10
Business Address
Mr. GEORGE FUENTES
1821 W BLACKHAWK DR
SANTA ANA, CA 92704-7122
Phone number: 949-385-1962
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Mailing Address
Mr. GEORGE FUENTES
PO BOX 13022
NEWPORT BEACH, CA 92658-5082
Phone number: 949-385-1962
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