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1053130336
AMANDA ALEXANDRA TOM
LA JOLLA, CA
NPI
1053130336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY34190)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
AMANDA ALEXANDRA TOM
9500 GILMAN DR
LA JOLLA, CA 92093-5004
Phone number: 858-534-3755
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Mailing Address
AMANDA ALEXANDRA TOM
3298 GOVERNOR DRIVE PO BOX 22988
SAN DIEGO, CA 92122
Phone number:
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