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1336259555
JEAN C. PENILLA
TUSTIN, CA
NPI
1336259555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 52353)
Enumeration Date
2006-08-30
Last Update Date
2017-11-14
Business Address
Mrs. JEAN C. PENILLA LMFT
218 W MAIN ST STE 101
TUSTIN, CA 92780-7709
Phone number: 714-401-2681
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Mailing Address
Mrs. JEAN C. PENILLA LMFT
PO BOX 26
YORBA LINDA, CA 92885-0026
Phone number: 714-401-2681
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