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1679128342
LILLY SHIVELY PARKS
SAN DIEGO, CA
NPI
1679128342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-08-08
Last Update Date
2023-07-05
Business Address
LILLY SHIVELY PARKS
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121-3029
Phone number: 858-534-8019
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Mailing Address
LILLY SHIVELY PARKS
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121-3029
Phone number:
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