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1013423979
ANDREW BISMARK
SAN DIEGO, CA
NPI
1013423979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 29689)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
ANDREW BISMARK
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-245-5825
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Mailing Address
ANDREW BISMARK
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number:
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