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1982329744
PORTIA LA MADRID AZUELA
LANCASTER, CA
NPI
1982329744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
PORTIA LA MADRID AZUELA
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
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Mailing Address
PORTIA LA MADRID AZUELA
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
Copy
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