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1407108160
JOSE RICARDO IRAHETA
PACIFICA, CA
NPI
1407108160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2012-10-04
Last Update Date
2021-12-30
Business Address
Mr. JOSE RICARDO IRAHETA MFTI
435 EDGEMAR AVE
PACIFICA, CA 94044-1961
Phone number: 650-355-3900
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Mailing Address
Mr. JOSE RICARDO IRAHETA MFTI
6558 MARY ELLEN AVE
VAN NUYS, CA 91401-1327
Phone number: 818-421-0417
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