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1821655895
PORTIALYN BUZZANGA
CHINO, CA
NPI
1821655895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 59616)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
PORTIALYN BUZZANGA LCSW
16250 HOMECOMING DR UNIT 1306
CHINO, CA 91708-8824
Phone number: 618-670-6219
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Mailing Address
PORTIALYN BUZZANGA LCSW
16250 HOMECOMING DR UNIT 1306
CHINO, CA 91708-8824
Phone number: 618-670-6219
Copy
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