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1013113091
JACK BOGHOSIAN
WEST COVINA, CA
NPI
1013113091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY8154)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Dr. JACK BOGHOSIAN Ph. D.
1502 W WEST COVINA PKWY
WEST COVINA, CA 91790-2703
Phone number: 626-480-5214
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Mailing Address
Dr. JACK BOGHOSIAN Ph. D.
1502 W WEST COVINA PKWY
WEST COVINA, CA 91790-2703
Phone number: 626-480-5214
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