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1639375207
SANDRA LEE JACOBS
CORONA, CA
NPI
1639375207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT21524)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
Ms. SANDRA LEE JACOBS MFT
2055 KELLOGG AVE
CORONA, CA 92879-3111
Phone number: 951-898-7153
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Mailing Address
Ms. SANDRA LEE JACOBS MFT
2055 KELLOGG AVE
CORONA, CA 92879-3111
Phone number: 951-898-7153
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