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1669847885
SAMUEL KHANUKAYEV
SAN FRANCISCO, CA
NPI
1669847885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 102145)
Enumeration Date
2015-12-14
Last Update Date
2022-12-06
Business Address
SAMUEL KHANUKAYEV MFT
414 GOUGH ST STE 5
SAN FRANCISCO, CA 94102-4474
Phone number: 510-982-6497
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Mailing Address
SAMUEL KHANUKAYEV MFT
PO BOX 170601
SAN FRANCISCO, CA 94117-0601
Phone number: 510-982-6497
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