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1528235546
GISLENE MARIETTE
LOS ANGELES, CA
NPI
1528235546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 15317)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
Dr. GISLENE MARIETTE Ph.C.
5455 WILSHIRE BLVD 2109
LOS ANGELES, CA 90036-4201
Phone number: 310-677-1247
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Mailing Address
Dr. GISLENE MARIETTE Ph.C.
PO BOX 361362
LOS ANGELES, CA 90036-9346
Phone number: 310-677-1247
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