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1700525607
NICOLE PHYLLIS BERMENSOLO
LOS ANGELES, CA
NPI
1700525607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
(Licence: CA 132721)
Enumeration Date
2022-05-31
Last Update Date
2022-10-09
Business Address
NICOLE PHYLLIS BERMENSOLO MA
10586 W PICO BLVD # 257
LOS ANGELES, CA 90064-2332
Phone number: 424-271-5221
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Mailing Address
NICOLE PHYLLIS BERMENSOLO MA
10586 W PICO BLVD # 257
LOS ANGELES, CA 90064-2332
Phone number: 424-271-5221
Copy
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