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1548944382
GINIENA TAN
ENCINITAS, CA
NPI
1548944382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 4046)
Additional Taxonomies
103TS0200X Psychologist, School
Enumeration Date
2023-06-12
Last Update Date
2023-07-17
Business Address
Mrs. GINIENA TAN LEP, PPS
2235 ENCINITAS BLVD STE 108
ENCINITAS, CA 92024-4356
Phone number: 760-704-8345
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Mailing Address
Mrs. GINIENA TAN LEP, PPS
2235 ENCINITAS BLVD. STE. 108
ENCINITAS, CA 92024
Phone number: 858-245-0704
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