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1528730686
CHANEL BASTOU
TUSTIN, CA
NPI
1528730686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2021-09-28
Last Update Date
2024-11-13
Business Address
CHANEL BASTOU
13841 TUSTIN EAST DR APT A209
TUSTIN, CA 92780-5349
Phone number: 657-229-2067
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Mailing Address
CHANEL BASTOU
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number:
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