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1679644041
ROSE BAZAKAS
LAGUNA HILLS, CA
NPI
1679644041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY19971)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
MRS. ROSE BAZAKAS PHD
23151 MOULTON PKWY
LAGUNA HILLS, CA 92653
Phone number: 949-951-2077
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Mailing Address
MRS. ROSE BAZAKAS PHD
23151 MOULTON PKWY
LAGUNA HILLS, CA 92653
Phone number: 949-951-2077
Copy
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