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1740718766
NISSA CHANTANA
ORANGE, CA
NPI
1740718766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY18676)
Enumeration Date
2017-06-03
Last Update Date
2017-07-19
Business Address
DR. NISSA CHANTANA PSYD
2230 W CHAPMAN AVE STE 232
ORANGE, CA 92868-2316
Phone number: 714-910-8077
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Mailing Address
DR. NISSA CHANTANA PSYD
19082 FOWLER AVE
SANTA ANA, CA 92705-1219
Phone number: 714-910-8077
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