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1134261878
JOHN SEBASTIAN ITALIA
ANTIOCH, CA
NPI
1134261878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 14291)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. JOHN SEBASTIAN ITALIA Ph.D.
2213 BUCHANAN RD STE 203
ANTIOCH, CA 94509-4265
Phone number: 925-779-4934
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Mailing Address
Dr. JOHN SEBASTIAN ITALIA Ph.D.
1183 SARANAP AVE APT 1
WALNUT CREEK, CA 94595-1152
Phone number: 925-457-6657
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