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1912180407
ATHANASE PAVLIDIS
RANCHO CUCAMONGA, CA
NPI
1912180407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC35112)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
Mr. ATHANASE PAVLIDIS LMFT
9850 19TH ST APT 58
RANCHO CUCAMONGA, CA 91737-4229
Phone number: 909-989-9558
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Mailing Address
Mr. ATHANASE PAVLIDIS LMFT
9850 19TH ST APT 58
RANCHO CUCAMONGA, CA 91737-4229
Phone number: 909-989-9558
Copy
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