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1265478754
JAIME ELIZABETH MEDVENE
ENCINO, CA
NPI
1265478754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY13740)
Enumeration Date
2006-06-22
Last Update Date
2020-03-27
Business Address
JAIME ELIZABETH MEDVENE PH.D.
17337 VENTURA BLVD SUITE 200
ENCINO, CA 91316-3903
Phone number: 818-981-7845
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Mailing Address
JAIME ELIZABETH MEDVENE PH.D.
30200 AGOURA RD STE 200
AGOURA HILLS, CA 91301-5433
Phone number: 818-981-7845
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