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1801200209
SHANI NISIMOV
WOODLAND HILLS, CA
NPI
1801200209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 89360)
Enumeration Date
2014-06-13
Last Update Date
2016-12-15
Business Address
-- SHANI NISIMOV
6267 VARIEL AVE STE B
WOODLAND HILLS, CA 91367-2512
Phone number: 909-623-6651
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Mailing Address
-- SHANI NISIMOV
1977 N GAREY AVE
POMONA, CA 91767-2774
Phone number: 909-623-6651
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