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1265639678
LISA ANN BLEVINS
SANTA CRUZ, CA
NPI
1265639678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 14707)
Enumeration Date
2007-06-29
Last Update Date
2013-08-02
Business Address
Dr. LISA ANN BLEVINS Phd
501 MISSION ST SUITE 102
SANTA CRUZ, CA 95060-3661
Phone number: 408-655-6219
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Mailing Address
Dr. LISA ANN BLEVINS Phd
484 E SAN FERNANDO ST
SAN JOSE, CA 95112-3513
Phone number: 408-794-7592
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