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1104057066
KEVIN JOSTAN PRINCE
AUSTIN, TX
NPI
1104057066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
Dr. KEVIN JOSTAN PRINCE Ph.D.
100 W. DEAN KEATON DRIVE HEALTH PROMOTION RESOURCE CENTER, SSB 1.106
AUSTIN, TX 78712
Phone number: 512-475-8252
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Mailing Address
Dr. KEVIN JOSTAN PRINCE Ph.D.
PO BOX 7339 HEALTH PROMOTION RESOURCE CENTER
AUSTIN, TX 78713-7339
Phone number: 512-475-8252
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