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1164564027
KYLE PONTIUS
COSTA MESA, CA
NPI
1164564027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 14186)
Enumeration Date
2007-02-13
Last Update Date
2019-09-09
Business Address
Dr. KYLE PONTIUS PhD
1700 ADAMS AVE STE 214
COSTA MESA, CA 92626-4865
Phone number: 714-957-1973
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Mailing Address
Dr. KYLE PONTIUS PhD
PO BOX 80951
RANCHO SANTA MARGARITA, CA 92688-0951
Phone number: 714-957-1973
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