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1508470071
MELISSA BANUELOS
LOS ANGELES, CA
NPI
1508470071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-09-02
Last Update Date
2021-07-07
Business Address
MELISSA BANUELOS
1125 W 6TH ST
LOS ANGELES, CA 90017-1833
Phone number: 213-202-3970
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Mailing Address
MELISSA BANUELOS
2186 BLOSSOM LN
LA VERNE, CA 91750-5208
Phone number: 209-613-5043
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