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1588033005
IVAN MACIAS
FRESNO, CA
NPI
1588033005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 139733)
Enumeration Date
2015-09-15
Last Update Date
2023-07-22
Business Address
IVAN MACIAS
1060 W SIERRA AVE STE 104
FRESNO, CA 93711-2063
Phone number: 559-437-1111
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Mailing Address
IVAN MACIAS
1060 W SIERRA AVE STE 104
FRESNO, CA 93711-2063
Phone number: 559-437-1111
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