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1205560703
MICHAEL ANTHONY BANUELOS
POMONA, CA
NPI
1205560703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW123584)
Enumeration Date
2022-07-12
Last Update Date
2024-10-14
Business Address
Mr. MICHAEL ANTHONY BANUELOS MSW
1900 ROYALTY DR STE 180
POMONA, CA 91767-3046
Phone number: 909-766-7340
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Mailing Address
Mr. MICHAEL ANTHONY BANUELOS MSW
1900 ROYALTY DR STE 180
POMONA, CA 91767-3046
Phone number: 909-766-7353
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