{
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"EIN": null,
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"FirstName": "JO",
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"NameSuffix": null,
"Credential": "M.S., LMFT",
"OtherOrgName": null,
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"OtherCredential": "LMFT",
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"FirstLineMailingAddress": "16843 VALLEY BLVD",
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"MailingAddressCityName": "FONTANA",
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"MailingAddressPostalCode": "92335-6666",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-640-3994",
"MailingAddressFaxNumber": "909-783-6625",
"FirstLinePracticeLocationAddress": "700 E GILBERT ST",
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"PracticeLocationAddressCityName": "SAN BERNARDINO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-382-3501",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/06/2007",
"LastUpdateDate": "11/30/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC 43809",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}