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1912046038
CHARLES EDGAR BASTEDO
LONG BEACH, CA
NPI
1912046038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 15096)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mr. CHARLES EDGAR BASTEDO MFCT
5199 E PACIFIC COAST HWY SUITE 504
LONG BEACH, CA 90804-3371
Phone number: 562-498-1750
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Mailing Address
Mr. CHARLES EDGAR BASTEDO MFCT
5199 E PACIFIC COAST HWY SUITE 504
LONG BEACH, CA 90804-3371
Phone number: 562-498-1750
Copy
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