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1457422966
CHARLES AMBROSE BANZON
SAN DIEGO, CA
NPI
1457422966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 49126)
Enumeration Date
2006-11-13
Last Update Date
2024-08-27
Business Address
Mr. CHARLES AMBROSE BANZON MFT
2130 NATIONAL AVE
SAN DIEGO, CA 92113-2209
Phone number: 619-255-5171
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Mailing Address
Mr. CHARLES AMBROSE BANZON MFT
2130 NATIONAL AVE
SAN DIEGO, CA 92113-2209
Phone number: 619-255-5171
Copy
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