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1528344504
ETHEL GANNON
LOS ALAMITOS, CA
NPI
1528344504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC48157)
Enumeration Date
2011-10-22
Last Update Date
2011-10-22
Business Address
-- ETHEL GANNON
11110 LOS ALAMITOS BLVD STE 213
LOS ALAMITOS, CA 90720-3602
Phone number: 562-325-3899
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Mailing Address
-- ETHEL GANNON
13531 RACELAND RD
LA MIRADA, CA 90638-2929
Phone number: 562-325-3899
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