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1881713014
SANDRA ELIZABETH VIDAL
LOS ANGELES, CA
NPI
1881713014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY23083)
Enumeration Date
2007-03-28
Last Update Date
2013-05-16
Business Address
-- SANDRA ELIZABETH VIDAL
830 S FAIRFAX AVE APT 2
LOS ANGELES, CA 90036-4467
Phone number: 323-570-9108
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Mailing Address
-- SANDRA ELIZABETH VIDAL
830 S FAIRFAX AVE APT 2
LOS ANGELES, CA 90036-4467
Phone number: 323-570-9108
Copy
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