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1013080290
MANNY BURGESS
SOUTH PASADENA, CA
NPI
1013080290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY10843)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. MANNY BURGESS
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030-4812
Phone number: 626-441-6111
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Mailing Address
Dr. MANNY BURGESS
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030-4812
Phone number: 626-441-6111
Copy
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