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1871037739
MANI FAEZ
JACKSON, WY
NPI
1871037739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 89498)
Enumeration Date
2016-12-12
Last Update Date
2022-06-30
Business Address
MANI FAEZ
610 W BROADWAY AVE STE L-1
JACKSON, WY 83001-8213
Phone number: 307-733-3908
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Mailing Address
MANI FAEZ
PO BOX 11390
JACKSON, WY 83002-1390
Phone number: 307-733-3908
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