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1336801182
MISTY DIANE BONTA
LA MESA, CA
NPI
1336801182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 3664)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
Mrs. MISTY DIANE BONTA LEP
6935 COLORADO AVE
LA MESA, CA 91942-1107
Phone number: 916-752-5513
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Mailing Address
Mrs. MISTY DIANE BONTA LEP
6935 COLORADO AVE
LA MESA, CA 91942-1107
Phone number: 916-752-5513
Copy
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