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1689215261
DAISY JUDITH BANUELOS
LOS ANGELES, CA
NPI
1689215261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-04
Last Update Date
2019-11-07
Business Address
DAISY JUDITH BANUELOS
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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Mailing Address
DAISY JUDITH BANUELOS
7029 TEMPLETON ST
HUNTINGTON PARK, CA 90255-5005
Phone number: 323-599-9325
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