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1528193117
GUSTAVO AVILA SANCHEZ
MARIPOSA, CA
NPI
1528193117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA lmft43602)
Enumeration Date
2007-02-22
Last Update Date
2018-12-31
Business Address
GUSTAVO AVILA SANCHEZ
5192 HOSPITAL ROAD
MARIPOSA, CA 95388
Phone number: 209-742-6144
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Mailing Address
GUSTAVO AVILA SANCHEZ
PO BOX 939
ANGELS CAMP, CA 95222-0939
Phone number: 209-754-6262
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