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1205060779
MICHAEL PETRILLO
GRASS VALLEY, CA
NPI
1205060779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 16017)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
-- MICHAEL PETRILLO
17183 RETRAC WAY CHRISTIAN ENCOUNTER MINISTRIES
GRASS VALLEY, CA 95949-9795
Phone number: 530-268-0877
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Mailing Address
-- MICHAEL PETRILLO
17183 RETRAC WAY CHRISTIAN ENCOUNTER MINISTRIES, PO BOX 1022
GRASS VALLEY, CA 95949-9795
Phone number: 530-268-0877
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