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1174098974
LADAN BOUSTANI
NEWPORT BEACH, CA
NPI
1174098974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 27962)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
Dr. LADAN BOUSTANI
4685 MACARTHUR CT STE 340
NEWPORT BEACH, CA 92660-1855
Phone number: 888-684-2779
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Mailing Address
Dr. LADAN BOUSTANI
12 MAGNOLIA DR
LADERA RANCH, CA 92694-0711
Phone number: 949-350-6416
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