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1205059557
DIANE BRIDGEMAN
SANTA CRUZ, CA
NPI
1205059557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY8500)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. DIANE BRIDGEMAN Ph.D.
1362 PACIFIC AVE SUITE 210
SANTA CRUZ, CA 95060-3932
Phone number: 831-420-1109
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Mailing Address
Dr. DIANE BRIDGEMAN Ph.D.
1362 PACIFIC AVE SUITE 210
SANTA CRUZ, CA 95060-3932
Phone number: 831-420-1109
Copy
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