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1134396070
LAURA FAIR BRODESKE
SANTA ANA, CA
NPI
1134396070
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Other Name
LAURIE FAIR-BRODESKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY21931)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
Dr. LAURA FAIR BRODESKE Ph.D.
2030 E 4TH ST SUITE 140 F
SANTA ANA, CA 92705-3940
Phone number: 714-569-9976
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Mailing Address
Dr. LAURA FAIR BRODESKE Ph.D.
2030 E 4TH ST SUITE 140 F
SANTA ANA, CA 92705-3940
Phone number: 714-569-9976
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