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1407398100
GINA MICHELLE LANG
PHOENIX, AZ
NPI
1407398100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AZ 3245)
Enumeration Date
2016-11-11
Last Update Date
2016-11-11
Business Address
-- GINA MICHELLE LANG Ph.D.
810 N 6TH AVE
PHOENIX, AZ 85003-1318
Phone number: 602-462-1115
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Mailing Address
-- GINA MICHELLE LANG Ph.D.
810 N 6TH AVE
PHOENIX, AZ 85003-1318
Phone number: 602-462-1115
Copy
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