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1912514852
LAURIE ANN POORE
TUSTIN, CA
NPI
1912514852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 15972)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
LAURIE ANN POORE PHD
218 W MAIN ST STE 202
TUSTIN, CA 92780-7719
Phone number: 714-573-4722
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Mailing Address
LAURIE ANN POORE PHD
218 W MAIN ST STE 202
TUSTIN, CA 92780-7719
Phone number: 714-573-4723
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