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1316182488
JACQUELINE MARIE DERAS
COVINA, CA
NPI
1316182488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 91426)
Enumeration Date
2008-12-03
Last Update Date
2021-11-24
Business Address
JACQUELINE MARIE DERAS
4740 N GRAND AVE
COVINA, CA 91724
Phone number: 626-859-2089
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Mailing Address
JACQUELINE MARIE DERAS
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-6440
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