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1326433962
TARA LYNN CANNON
LONG BEACH, CA
NPI
1326433962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF78535)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- TARA LYNN CANNON
1501 HUGHES WAY SUITE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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Mailing Address
-- TARA LYNN CANNON
500 E 51ST ST APT 1
LONG BEACH, CA 90805-6598
Phone number: 310-221-6336
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