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1235665696
JORGE FONTES SOUSA
MERCED, CA
NPI
1235665696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 20381)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
Mr. JORGE FONTES SOUSA
3195 M ST
MERCED, CA 95348-2406
Phone number: 209-723-6030
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Mailing Address
Mr. JORGE FONTES SOUSA
3195 M ST
MERCED, CA 95348-2406
Phone number: 209-723-6030
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