MICHAEL BORMACOFF

ATASCADERO, CA
NPI1053968552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  31169)
Enumeration Date2019-08-20
Last Update Date2019-08-23
Business Address
MICHAEL BORMACOFF PsyD
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number: 805-468-2045
Mailing Address
MICHAEL BORMACOFF PsyD
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number: 805-468-2045
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