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1164735551
NICOLE SALLY LIGHTMAN
NEWPORT BEACH, CA
NPI
1164735551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA PSY28608)
Enumeration Date
2010-07-14
Last Update Date
2018-08-30
Business Address
NICOLE SALLY LIGHTMAN PhD
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Phone number: 949-743-1457
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Mailing Address
NICOLE SALLY LIGHTMAN PhD
PO BOX 26224
SANTA ANA, CA 92799-6224
Phone number: 520-400-8171
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