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Individual
DR. LYNN MARIE DUBENKO
Active
Individual
DR. LYNN MARIE DUBENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZT40271F
MEDI-CAL
CA
01
—
ZZZH3702Z
BLUE SHIELD
CA
Enumeration date
08/04/2009
Last updated
08/04/2009
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