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1487714325
MARTA DIAZ BOMORTINO
RANCHO CUCAMONGA, CA
NPI
1487714325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS9720)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- MARTA DIAZ BOMORTINO LCSW
5684 ALTADENA CT
RANCHO CUCAMONGA, CA 91739-2193
Phone number: 909-851-0416
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Mailing Address
-- MARTA DIAZ BOMORTINO LCSW
5684 ALTADENA CT
RANCHO CUCAMONGA, CA 91739-2193
Phone number: 909-851-0416
Copy
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