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1851019533
PANTEA SHAHBAZI
SAN DIEGO, CA
NPI
1851019533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 134127)
Enumeration Date
2022-08-18
Last Update Date
2023-01-24
Business Address
PANTEA SHAHBAZI
5414 OBERLIN DR
SAN DIEGO, CA 92121-4752
Phone number: 619-719-5760
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Mailing Address
PANTEA SHAHBAZI
PO BOX 262011
SAN DIEGO, CA 92196-2011
Phone number: 619-719-5760
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