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1346485810
JUDITH RUTH PROFANT
NEWPORT BEACH, CA
NPI
1346485810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20784)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
-- JUDITH RUTH PROFANT PhD, CBSM
5001 BIRCH ST
NEWPORT BEACH, CA 92660-2116
Phone number: 949-302-2020
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Mailing Address
-- JUDITH RUTH PROFANT PhD, CBSM
PO BOX 727
CORONA DEL MAR, CA 92625-0727
Phone number: 949-302-2020
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