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1346890597
VIRGINIA BERGQUIST
IRVINE, CA
NPI
1346890597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 160039780)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
VIRGINIA BERGQUIST
9 STILLWATER
IRVINE, CA 92603-3426
Phone number: 760-574-2666
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Mailing Address
VIRGINIA BERGQUIST
9 STILLWATER
IRVINE, CA 92603-3426
Phone number: 760-574-2666
Copy
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