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1003120205
TRACIE TEMPLE
LONG BEACH, CA
NPI
1003120205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TF0200X Psychologist, Forensic
Enumeration Date
2010-07-29
Last Update Date
2010-07-29
Business Address
-- TRACIE TEMPLE
411 W SEASIDE WAY UNIT 1403
LONG BEACH, CA 90802-7988
Phone number: 562-595-3099
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Mailing Address
-- TRACIE TEMPLE
411 W SEASIDE WAY UNIT 1403
LONG BEACH, CA 90802-7988
Phone number: 562-595-3099
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