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1528106622
MICHAEL ANTHONY DEROSE
TURLOCK, CA
NPI
1528106622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 43058)
Enumeration Date
2007-02-01
Last Update Date
2015-03-04
Business Address
MR. MICHAEL ANTHONY DEROSE MFT
440 E CANAL DR
TURLOCK, CA 95380-3936
Phone number: 209-573-1468
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Mailing Address
MR. MICHAEL ANTHONY DEROSE MFT
440 E CANAL DR
TURLOCK, CA 95380-3936
Phone number: 209-573-1468
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