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1699900779
LISA DANIELLE BAGBY
VENTURA, CA
NPI
1699900779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-05-19
Last Update Date
2009-05-20
Business Address
-- LISA DANIELLE BAGBY
5810 RALSTON ST FL 2
VENTURA, CA 93003-6010
Phone number: 805-642-7033
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Mailing Address
-- LISA DANIELLE BAGBY
11490 NW TIMBERRIDGE LN
GRIMES, IA 50111-8889
Phone number: 805-642-7033
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