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1093597601
MICKEAL PUGH
LOS ANGELES, CA
NPI
1093597601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 34826)
Enumeration Date
2023-10-18
Last Update Date
2024-07-01
Business Address
MICKEAL PUGH PHD
11500 W OLYMPIC BLVD STE 640
LOS ANGELES, CA 90064-1525
Phone number: 424-225-1845
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Mailing Address
MICKEAL PUGH PHD
5520 WILSHIRE BLVD APT 619
LOS ANGELES, CA 90036-5786
Phone number: 717-698-2173
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