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1174074207
ELY ESTUPINIAN
GARDENA, CA
NPI
1174074207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW73457)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
Miss ELY ESTUPINIAN
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
Miss ELY ESTUPINIAN
1326 W 12TH ST
SANTA ANA, CA 92703-2128
Phone number: 714-724-2169
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