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1891995007
TY COLBERT
ORANGE, CA
NPI
1891995007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: DC PSY 9242)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
TY COLBERT PH.D.
1335 N. SARITA PLACE
ORANGE, CA 92869-1327
Phone number: 714-532-3214
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Mailing Address
TY COLBERT PH.D.
1335 N SARITA PL
ORANGE, CA 92869-1327
Phone number: 714-532-3214
Copy
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