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1578341475
IVANA ELISA BORBA GOMEZ
ISSAQUAH, WA
NPI
1578341475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 13575455-3904)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
IVANA ELISA BORBA GOMEZ LAMFT
160 NW GILMAN BLVD STE 327
ISSAQUAH, WA 98027-2550
Phone number: 425-615-0860
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Mailing Address
IVANA ELISA BORBA GOMEZ LAMFT
2588 S 1000 W
NIBLEY, UT 84321-6545
Phone number: 425-615-0860
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