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1104178078
JEFFREY PENNER
SAN DIEGO, CA
NPI
1104178078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 7094)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
Dr. JEFFREY PENNER PhD
8885 RIO SAN DIEGO DR SUITE 325
SAN DIEGO, CA 92108-1624
Phone number: 619-297-8640
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Mailing Address
Dr. JEFFREY PENNER PhD
8885 RIO SAN DIEGO DR SUITE 325
SAN DIEGO, CA 92108-1624
Phone number: 619-297-8640
Copy
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