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1164847638
BRENT MAUSBACH
LA JOLLA, CA
NPI
1164847638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY21469)
Enumeration Date
2014-02-20
Last Update Date
2019-06-04
Business Address
DR. BRENT MAUSBACH PHD
8950 VILLA LA JOLLA DR STE C101
LA JOLLA, CA 92037
Phone number: 858-534-7792
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Mailing Address
DR. BRENT MAUSBACH PHD
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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