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1467522243
VIVIAN BLAS
BURBANK, CA
NPI
1467522243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 17709MFT)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Mrs. VIVIAN BLAS MFT 17709MFT
4405 RIVERSIDE DR SUITE 106
BURBANK, CA 91504
Phone number: 818-845-0366
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Mailing Address
Mrs. VIVIAN BLAS MFT 17709MFT
4405 RIVERSIDE DR SUITE 106
BURBANK, CA 91504
Phone number: 818-845-0366
Copy
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