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1720011885
NANETTE DE FUENTES
GLENDALE, CA
NPI
1720011885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy 11400)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Dr. NANETTE DE FUENTES Ph.D.
138 N BRAND BLVD SUITE 300
GLENDALE, CA 91203-4614
Phone number: 818-548-1122
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Mailing Address
Dr. NANETTE DE FUENTES Ph.D.
138 N BRAND BLVD SUITE 300
GLENDALE, CA 91203-4614
Phone number: 818-548-1122
Copy
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