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1457756439
LISA NICOLE RUCKER
RANCHO CUCAMONGA, CA
NPI
1457756439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 82125)
Enumeration Date
2014-11-03
Last Update Date
2015-03-10
Business Address
-- LISA NICOLE RUCKER IMFT
9540 CENTER AVENUE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Phone number: 909-980-2789
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Mailing Address
-- LISA NICOLE RUCKER IMFT
9540 CENTER AVENUE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Phone number: 909-980-2789
Copy
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