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1578908752
LISA BANASIAK
RIVERSIDE, CA
NPI
1578908752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA PCI 208)
Enumeration Date
2013-05-01
Last Update Date
2013-05-01
Business Address
-- LISA BANASIAK
7130 MAGNOLIA AVE STE. R
RIVERSIDE, CA 92504-3864
Phone number: 951-213-6742
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Mailing Address
-- LISA BANASIAK
7130 MAGNOLIA AVE STE. R
RIVERSIDE, CA 92504-3864
Phone number:
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