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1114285772
TIM GOMERSALL
EUREKA, CA
NPI
1114285772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA LEP 2754)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
-- TIM GOMERSALL L.E.P.
525 2ND ST
EUREKA, CA 95501-5107
Phone number: 707-407-7475
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Mailing Address
-- TIM GOMERSALL L.E.P.
PO BOX 6131
EUREKA, CA 95502-6131
Phone number: 707-407-7475
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