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1407289135
JUAN CARLOS QUINTEROS
VAN NUYS, CA
NPI
1407289135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 105350)
Enumeration Date
2013-08-16
Last Update Date
2018-05-08
Business Address
JUAN CARLOS QUINTEROS
6305 WOODMAN AVE
VAN NUYS, CA 91401-2346
Phone number: 818-901-6376
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Mailing Address
JUAN CARLOS QUINTEROS
11162 RESEDA BLVD
PORTER RANCH, CA 91326-2501
Phone number: 818-825-8918
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