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1376661942
ANTONIO BANUELOS
CERRITOS, CA
NPI
1376661942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-03-26
Last Update Date
2021-03-01
Business Address
ANTONIO BANUELOS LCSW
17707 STUDEBAKER RD
CERRITOS, CA 90703-2640
Phone number: 562-403-0688
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Mailing Address
ANTONIO BANUELOS LCSW
4515 N ELLEN DR
COVINA, CA 91722-2331
Phone number: 626-534-7009
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