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1306199344
MARK JAMES ESCALONA CHUA
VENTURA, CA
NPI
1306199344
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Other Name
MARK ESCALONA CHUA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- MARK JAMES ESCALONA CHUA
1838 EASTMAN AVE SUITE 100
VENTURA, CA 93003-6496
Phone number: 805-289-0120
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Mailing Address
-- MARK JAMES ESCALONA CHUA
1838 EASTMAN AVE SUITE 100
VENTURA, CA 93003-6496
Phone number: 805-289-0120
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