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1205386372
MARISA INEZ DIAZ
SAN MARCOS, CA
NPI
1205386372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 73024)
Enumeration Date
2016-10-12
Last Update Date
2016-10-17
Business Address
-- MARISA INEZ DIAZ
325 BUENA CREEK RD
SAN MARCOS, CA 92069-9679
Phone number: 760-754-5500
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Mailing Address
-- MARISA INEZ DIAZ
325 BUENA CREEK RD
SAN MARCOS, CA 92069-9679
Phone number: 760-754-5500
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