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1003476359
SAMUEL DOONG
BERKELEY, CA
NPI
1003476359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist Mental Retardation & Developmental Disabilities
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
SAMUEL DOONG
2514 PIEDMONT AVE APT 105
BERKELEY, CA 94704-3108
Phone number: 909-380-3463
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Mailing Address
SAMUEL DOONG
183 BERKELEY
IRVINE, CA 92612-4604
Phone number: 909-380-3463
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