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1003011495
DOUGLAS BRACKMANN
SAN DIEGO, CA
NPI
1003011495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY19753)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS BRACKMANN Ph.D.
3101 4TH AVE
SAN DIEGO, CA 92103-5802
Phone number: 858-735-1667
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Mailing Address
Dr. DOUGLAS BRACKMANN Ph.D.
8536 RIDGEFIELD PL
SAN DIEGO, CA 92129-3731
Phone number: 858-735-1667
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