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1508025842
NINA PETIT DE MANGE
CARLSBAD, CA
NPI
1508025842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY26000)
Enumeration Date
2008-06-02
Last Update Date
2013-12-30
Business Address
-- NINA PETIT DE MANGE Psy.D.
3150 EL CAMINO REAL
CARLSBAD, CA 92008-2110
Phone number: 760-276-4606
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Mailing Address
-- NINA PETIT DE MANGE Psy.D.
PO BOX 131653
CARLSBAD, CA 92013-1653
Phone number:
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