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1912033523
MIRYAM LONGEST
SAN DIEGO, CA
NPI
1912033523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY19900)
Enumeration Date
2007-02-26
Last Update Date
2019-08-29
Business Address
Dr. MIRYAM LONGEST PhD
3131 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Phone number: 619-326-9513
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Mailing Address
Dr. MIRYAM LONGEST PhD
PO BOX 710430
SAN DIEGO, CA 92171-0430
Phone number: 619-326-9513
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