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1922372044
MIRNA BANUELOS
LOS ANGELES, CA
NPI
1922372044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT141796)
Enumeration Date
2012-03-07
Last Update Date
2024-01-03
Business Address
MIRNA BANUELOS LMFT
221 N ARDMORE AVE
LOS ANGELES, CA 90004-4503
Phone number: 213-381-3626
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Mailing Address
MIRNA BANUELOS LMFT
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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