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1578695284
ELISA KAHTERINE JIMENEZ
WEST COVINA, CA
NPI
1578695284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PBS 31430)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- ELISA KAHTERINE JIMENEZ PhD intern
2217 CALLE PARRAL
WEST COVINA, CA 91792-2182
Phone number: 626-453-6234
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Mailing Address
-- ELISA KAHTERINE JIMENEZ PhD intern
2217 CALLE PARRAL
WEST COVINA, CA 91792-2182
Phone number: 626-453-6234
Copy
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