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1124247226
KELLY L LANGE
SAN DIEGO, CA
NPI
1124247226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA PSY21401)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. KELLY L LANGE Ph.D.
9606 TIERRA GRANDE ST SUITE 107
SAN DIEGO, CA 92126-6501
Phone number: 858-693-3113
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Mailing Address
Dr. KELLY L LANGE Ph.D.
9606 TIERRA GRANDE ST SUITE 107
SAN DIEGO, CA 92126-6501
Phone number: 858-693-3113
Copy
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