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1679189724
IFEANYI JIMMY
MANTECA, CA
NPI
1679189724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 132326)
Enumeration Date
2020-09-23
Last Update Date
2023-06-16
Business Address
IFEANYI JIMMY
302 CHERRY LN
MANTECA, CA 95337-4311
Phone number: 530-893-0758
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Mailing Address
IFEANYI JIMMY
302 CHERRY LN
MANTECA, CA 95337-4311
Phone number: 530-893-0758
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