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1619474517
OMAR DE LA VEGA
SANTA ANA, CA
NPI
1619474517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 104615)
Enumeration Date
2018-04-09
Last Update Date
2021-06-10
Business Address
OMAR DE LA VEGA AMFT, APCC
1940 E DEERE AVE STE 100
SANTA ANA, CA 92705-5718
Phone number: 714-543-4333
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Mailing Address
OMAR DE LA VEGA AMFT, APCC
1530 LORELLA AVE
LA HABRA, CA 90631-5218
Phone number: 562-665-3877
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