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1760508774
MOISES PONCE
PERRIS, CA
NPI
1760508774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 39956)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. MOISES PONCE MFT Intern
1688 N PERRIS BLVD SUITE L7-11
PERRIS, CA 92571-4709
Phone number: 951-443-2236
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Mailing Address
Mr. MOISES PONCE MFT Intern
25742 VAN LEUVEN ST
LOMA LINDA, CA 92354-2508
Phone number: 909-478-0701
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