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1124525316
ELISHA BACON
SANTA FE SPRINGS, CA
NPI
1124525316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
ELISHA BACON
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
ELISHA BACON
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
Copy
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