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1366885477
LINO BANUELOS
WASCO, CA
NPI
1366885477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25464)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
Mr. LINO BANUELOS LCSW
701 SCOFIELD AVE
WASCO, CA 93280-7515
Phone number: 661-758-8400
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Mailing Address
Mr. LINO BANUELOS LCSW
701 SCOFIELD AVE
WASCO, CA 93280-7515
Phone number: 661-758-8400
Copy
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