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1003135666
JASON AMED RICHARDSON
OCEANSIDE, CA
NPI
1003135666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 24583)
Enumeration Date
2010-05-21
Last Update Date
2016-09-29
Business Address
-- JASON AMED RICHARDSON
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
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Mailing Address
-- JASON AMED RICHARDSON
2734 LOKER AVE W SUITE L
CARLSBAD, CA 92010-6627
Phone number: 760-230-4274
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