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1134275548
JERRY LEE TEIXEIRA
NEWPORT BEACH, CA
NPI
1134275548
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Other Name
JERRY LEE TEIXEIRA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy10216)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Dr. JERRY LEE TEIXEIRA Ph.D
200 NEWPORT CENTER DR SUITE 300
NEWPORT BEACH, CA 92660-7501
Phone number: 949-760-2613
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Mailing Address
Dr. JERRY LEE TEIXEIRA Ph.D
200 NEWPORT CENTER DR SUITE 300
NEWPORT BEACH, CA 92660-7501
Phone number: 949-760-2613
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