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1912115106
GERRY FAGOAGA
SOUTH PASADENA, CA
NPI
1912115106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC32143)
Enumeration Date
2007-05-19
Last Update Date
2007-07-08
Business Address
Ms. GERRY FAGOAGA MFT
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030-4812
Phone number: 626-571-0077
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Mailing Address
Ms. GERRY FAGOAGA MFT
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030-4812
Phone number: 626-571-0077
Copy
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