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1437267622
LOLA VILDAVSKAIA
SAN DIEGO, CA
NPI
1437267622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18986)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Ms. LOLA VILDAVSKAIA PhD
4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123-1680
Phone number: 800-257-8715
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Mailing Address
Ms. LOLA VILDAVSKAIA PhD
36 GARDEN GROVE DR
DALY CITY, CA 94015-3049
Phone number: 650-994-9008
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