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1578815411
INGRID STEPHANIE BANUELOS
DOWNEY, CA
NPI
1578815411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 78438)
Enumeration Date
2012-10-02
Last Update Date
2017-12-14
Business Address
Miss INGRID STEPHANIE BANUELOS
7285 QUILL DR
DOWNEY, CA 90242-2001
Phone number: 562-940-6077
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Mailing Address
Miss INGRID STEPHANIE BANUELOS
7285 QUILL DR
DOWNEY, CA 90242-2001
Phone number: 562-940-6077
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