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1497486807
EDGAR ALFONSO CRUZ MIRANDA
SIMI VALLEY, CA
NPI
1497486807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 131726)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
EDGAR ALFONSO CRUZ MIRANDA LMFT
2489 TAPO ST STE B
SIMI VALLEY, CA 93063-2453
Phone number: 805-774-1506
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Mailing Address
EDGAR ALFONSO CRUZ MIRANDA LMFT
2489 TAPO ST STE B
SIMI VALLEY, CA 93063-2453
Phone number: 805-774-1506
Copy
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