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1922563139
DIANE FAITH CLARK
MISSION VIEJO, CA
NPI
1922563139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: CA 3014)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
DR. DIANE FAITH CLARK LEP 3014
25631 PETER A HARTMAN WAY
MISSION VIEJO, CA 92691-3142
Phone number: 949-580-3218
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Mailing Address
DR. DIANE FAITH CLARK LEP 3014
25631 PETER A HARTMAN WAY
MISSION VIEJO, CA 92691-3142
Phone number: 949-580-3218
Copy
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