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1114919263
JEFFREY BRUCE ELLIOTT
SAN LUIS OBISPO, CA
NPI
1114919263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 17917)
Enumeration Date
2005-08-16
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY BRUCE ELLIOTT PsyD
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-5525
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Mailing Address
Dr. JEFFREY BRUCE ELLIOTT PsyD
PO BOX 425
SANTA MARIA, CA 93456-0425
Phone number: 805-934-5900
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