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1750312211
GERALD JAY OWEN
SANTA MONICA, CA
NPI
1750312211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT20280)
Enumeration Date
2006-07-05
Last Update Date
2021-01-04
Business Address
GERALD JAY OWEN M.F.T.
911 ARIZONA AVE # 1
SANTA MONICA, CA 90401-1807
Phone number: 310-395-9631
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Mailing Address
GERALD JAY OWEN M.F.T.
911 ARIZONA AVE # 1
SANTA MONICA, CA 90401-1807
Phone number: 310-395-9631
Copy
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