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1013457431
MARK TERJESEN
JAMAICA, NY
NPI
1013457431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 022047-1)
Enumeration Date
2017-03-04
Last Update Date
2017-03-04
Business Address
-- MARK TERJESEN
8000 UTOPIA PKWY
JAMAICA, NY 11439-9000
Phone number: 718-990-5860
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Mailing Address
-- MARK TERJESEN
32 COLLINS RD
GLEN COVE, NY 11542-4032
Phone number: 516-639-8182
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