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1679683130
AYNE SHORE
SANTA ROSA, CA
NPI
1679683130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC37449)
Enumeration Date
2006-08-30
Last Update Date
2008-08-15
Business Address
-- AYNE SHORE MFT
534 B ST
SANTA ROSA, CA 95401-5211
Phone number: 707-696-6978
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Mailing Address
-- AYNE SHORE MFT
PO BOX 1157
SEBASTOPOL, CA 95473-1157
Phone number: 707-696-6978
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