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1194878165
CAROL POVENMIRE
PASADENA, CA
NPI
1194878165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY10257)
Enumeration Date
2007-01-20
Last Update Date
2007-07-08
Business Address
Dr. CAROL POVENMIRE Ph.D.
960 E GREEN ST SUITE 290
PASADENA, CA 91106-2401
Phone number: 626-355-2630
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Mailing Address
Dr. CAROL POVENMIRE Ph.D.
PO BOX 295
SIERRA MADRE, CA 91025-0295
Phone number: 626-355-2630
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