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1053745497
SOUTHERN CALIFORNIA PSYCHOLOGICAL
TUSTIN, CA
NPI
1053745497
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Entity Type
Organization
Authorized Contact
KIMBERELY TILLEY
President
714-505-2093
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA PSY23488)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
SOUTHERN CALIFORNIA PSYCHOLOGICAL
17821 17TH ST STE 250
TUSTIN, CA 92780-2173
Phone number: 714-505-2093
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Mailing Address
SOUTHERN CALIFORNIA PSYCHOLOGICAL
17821 17TH ST STE 250
TUSTIN, CA 92780-2173
Phone number: 714-505-2093
Copy
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