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1063543262
VICKI J MCWAIN
FONTANA, CA
NPI
1063543262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY15326)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- VICKI J MCWAIN PhD
17216 SLOVER AVE BUILDING L
FONTANA, CA 92337-7580
Phone number: 909-854-3420
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Mailing Address
-- VICKI J MCWAIN PhD
23121 WESTERN RIDGE RD
MORENO VALLEY, CA 92557-4828
Phone number: 909-854-3420
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