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1295773232
JODY BANTZ
SAN DIEGO, CA
NPI
1295773232
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Professional Name
JODY LENORE BANTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20351)
Enumeration Date
2006-06-03
Last Update Date
2024-02-07
Business Address
Dr. JODY BANTZ
10455 POMERADO RD
SAN DIEGO, CA 92131
Phone number: 858-344-2668
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Mailing Address
Dr. JODY BANTZ
PO BOX 2253
RANCHO MIRAGE, CA 92270-1085
Phone number: 858-344-2668
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