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1164979126
JONATHAN LY
GARDEN GROVE, CA
NPI
1164979126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- JONATHAN LY M.A.
11277 GARDEN GROVE BLVD SUITE 100
GARDEN GROVE, CA 92843-1340
Phone number: 714-620-8131
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Mailing Address
-- JONATHAN LY M.A.
11277 GARDEN GROVE BLVD SUITE 100
GARDEN GROVE, CA 92843-1340
Phone number:
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