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1184932949
BLAKE KRISTOL BAUM
SAN DIEGO, CA
NPI
1184932949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 5795)
Enumeration Date
2010-09-15
Last Update Date
2019-12-09
Business Address
Mrs. BLAKE KRISTOL BAUM
9466 BLACK MOUNTAIN RD STE 100
SAN DIEGO, CA 92126-4550
Phone number: 858-689-2027
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Mailing Address
Mrs. BLAKE KRISTOL BAUM
9466 BLACK MOUNTAIN RD STE 100
SAN DIEGO, CA 92126-4550
Phone number: 858-689-2027
Copy
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