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1952556177
MICHAEL FANOUS
SANTA ANA, CA
NPI
1952556177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA imf58180)
Enumeration Date
2008-12-02
Last Update Date
2008-12-02
Business Address
-- MICHAEL FANOUS
2416 S MAIN ST
SANTA ANA, CA 92707-3290
Phone number: 714-966-9999
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Mailing Address
-- MICHAEL FANOUS
822 W TOWN AND COUNTRY RD
ORANGE, CA 92868-4712
Phone number: 714-547-7559
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