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1619006541
JENNIFER L. STARK
LOS BANOS, CA
NPI
1619006541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC41011)
Enumeration Date
2007-03-05
Last Update Date
2009-09-16
Business Address
JENNIFER L. STARK M. A.
1435 W I ST
LOS BANOS, CA 93635-4546
Phone number: 209-509-5272
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Mailing Address
JENNIFER L. STARK M. A.
PO BOX 2438
LOS BANOS, CA 93635-2438
Phone number: 209-509-5272
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