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1710413356
MARTHA PATRICIA BANUELOS
ORANGE, CA
NPI
1710413356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT93437)
Enumeration Date
2017-05-02
Last Update Date
2024-01-03
Business Address
MARTHA PATRICIA BANUELOS LMFT
2501 E CHAPMAN AVE
ORANGE, CA 92869-3204
Phone number: 714-633-1011
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Mailing Address
MARTHA PATRICIA BANUELOS LMFT
PO BOX 4263
ORANGE, CA 92863-4263
Phone number:
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