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1114097003
TIMOTHY DANE DURICK
VISALIA, CA
NPI
1114097003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY16229)
Enumeration Date
2006-11-08
Last Update Date
2016-12-01
Business Address
Dr. TIMOTHY DANE DURICK PSYD
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-733-6880
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Mailing Address
Dr. TIMOTHY DANE DURICK PSYD
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-737-4669
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