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Organization

UNITED STATES AIR FORCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH EMMA THOMPSON M.A. (PSYCHOLOGIST (STUDENT))
(310) 481-5089
Entity
Organization

Contact information

Practice address
11075 SANTA MONICA BLVD STE 300, LOS ANGELES, CA 90025-7540
(310) 481-5089
Mailing address
10333 CAMINO RUIZ APT 39, SAN DIEGO, CA 92126-3284
(858) 837-3510

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary

Other

Enumeration date
10/18/2010
Last updated
10/18/2010
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