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1811652290
IFAN WU AMBROSIUS
LAGUNA NIGUEL, CA
NPI
1811652290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
IFAN WU AMBROSIUS PPS
23852 BRANT LN
LAGUNA NIGUEL, CA 92677-1342
Phone number: 949-874-0434
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Mailing Address
IFAN WU AMBROSIUS PPS
23852 BRANT LN
LAGUNA NIGUEL, CA 92677-1342
Phone number: 949-874-0434
Copy
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