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1386119345
ELIZABETH BACON
SAN DIEGO, CA
NPI
1386119345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 29317)
Enumeration Date
2018-10-05
Last Update Date
2018-10-05
Business Address
ELIZABETH BACON PhD
3020 CHILDRENS WAY # MC5042
SAN DIEGO, CA 92123-4223
Phone number: 858-966-7453
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Mailing Address
ELIZABETH BACON PhD
3020 CHILDRENS WAY # MC5042
SAN DIEGO, CA 92123-4223
Phone number:
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