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1982868923
MAI IESAKA
LA JOLLA, CA
NPI
1982868923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-07-17
Last Update Date
2008-09-02
Business Address
MISS MAI IESAKA BA
529 BONAIR ST
LA JOLLA, CA 92037-6113
Phone number: 858-401-2548
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Mailing Address
MISS MAI IESAKA BA
529 BONAIR ST
LA JOLLA, CA 92037-6113
Phone number: 858-401-2548
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