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1346816600
BASTY A MENJIVAR
OCEANSIDE, CA
NPI
1346816600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist Counseling
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
BASTY A MENJIVAR M.S.
1100 SPORTFISHER DR
OCEANSIDE, CA 92054-2550
Phone number: 760-439-6702
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Mailing Address
BASTY A MENJIVAR M.S.
257 E EL SUR ST
MONROVIA, CA 91016-4801
Phone number: 626-861-6311
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