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1104057140
MAYA ALYCE PETTIES
PATTON, CA
NPI
1104057140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 20918)
Enumeration Date
2009-08-06
Last Update Date
2014-11-14
Business Address
Dr. MAYA ALYCE PETTIES Psy.D.
3102 E. HIGHLAND AVE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679
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Mailing Address
Dr. MAYA ALYCE PETTIES Psy.D.
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679
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