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1982868378
BRIAN ROBERT BAUCOM
LOS ANGELES, CA
NPI
1982868378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSB 33264)
Enumeration Date
2008-07-15
Last Update Date
2008-07-15
Business Address
Dr. BRIAN ROBERT BAUCOM Ph.D.
6310 SAN VICENTE BLVD SUITE 350
LOS ANGELES, CA 90048-5426
Phone number: 310-625-9267
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Mailing Address
Dr. BRIAN ROBERT BAUCOM Ph.D.
6310 SAN VICENTE BLVD SUITE 350
LOS ANGELES, CA 90048-5426
Phone number: 310-625-9267
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