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1063033611
JACQLYN QUINTINA WAX
MISSION VIEJO, CA
NPI
1063033611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSB94024446)
Enumeration Date
2020-05-05
Last Update Date
2020-05-05
Business Address
JACQLYN QUINTINA WAX Psy.D
27201 PUERTA REAL STE 300
MISSION VIEJO, CA 92691-8590
Phone number: 949-354-4147
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Mailing Address
JACQLYN QUINTINA WAX Psy.D
1206 BLUE SKY DR
CARDIFF, CA 92007-1005
Phone number: 858-213-7243
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