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1437676624
JOHN MIZELLE
SANTA CRUZ, CA
NPI
1437676624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT22767)
Enumeration Date
2017-08-28
Last Update Date
2022-07-21
Business Address
JOHN MIZELLE LMFT
573 SOQUEL AVE
SANTA CRUZ, CA 95062-2309
Phone number: 831-423-3117
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Mailing Address
JOHN MIZELLE LMFT
573 SOQUEL AVE
SANTA CRUZ, CA 95062-2309
Phone number: 831-423-3117
Copy
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