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1871673954
JANET LOUISE FOSSUM
ORANGE, CA
NPI
1871673954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18740)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- JANET LOUISE FOSSUM Ph.D.
101 THE CITY DR S BLDG 3, ROUTE 81
ORANGE, CA 92868-3201
Phone number: 714-456-5902
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Mailing Address
-- JANET LOUISE FOSSUM Ph.D.
PO BOX 54739
LOS ANGELES, CA 90054-0739
Phone number: 714-456-5902
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