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1225072143
KEN VANDERLIP
FULLERTON, CA
NPI
1225072143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY13314)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
-- KEN VANDERLIP Ph.D.
680 LANGSDORF DR SUITE 202
FULLERTON, CA 92831-3702
Phone number: 714-385-1770
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Mailing Address
-- KEN VANDERLIP Ph.D.
680 LANGSDORF DR SUITE 202
FULLERTON, CA 92831-3702
Phone number: 714-385-1770
Copy
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