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1477160679
MICHELLE LOUISE JIMENEZ
TUSTIN, CA
NPI
1477160679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT119613)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
MICHELLE LOUISE JIMENEZ
12821 NEWPORT AVE
TUSTIN, CA 92780-2711
Phone number: 562-537-1905
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Mailing Address
MICHELLE LOUISE JIMENEZ
12821 NEWPORT AVE
TUSTIN, CA 92780-2711
Phone number: 562-537-1905
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