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1134266554
EDWARD F. BOURG
OAKLAND, CA
NPI
1134266554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY4990)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Dr. EDWARD F. BOURG Ph.D.
56 ROSS CIR
OAKLAND, CA 94618-1912
Phone number: 510-652-5078
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Mailing Address
Dr. EDWARD F. BOURG Ph.D.
56 ROSS CIR
OAKLAND, CA 94618-1912
Phone number: 510-652-5078
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