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1972124394
NICOLE LUCIA
CHULA VISTA, CA
NPI
1972124394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 190109375)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
NICOLE LUCIA PPS Credential
84 E J ST
CHULA VISTA, CA 91910-6115
Phone number: 619-425-9600
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Mailing Address
NICOLE LUCIA PPS Credential
11255 TIERRASANTA BLVD UNIT 124
SAN DIEGO, CA 92124-2890
Phone number: 760-807-0039
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