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1134330947
JACK GLENN ANDERSON
PASADENA, CA
NPI
1134330947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY10819)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Dr. JACK GLENN ANDERSON Ph.D.
200 E DEL MAR BLVD SUITE 122
PASADENA, CA 91105-2544
Phone number: 626-792-8922
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Mailing Address
Dr. JACK GLENN ANDERSON Ph.D.
200 E DEL MAR BLVD SUITE 122
PASADENA, CA 91105-2544
Phone number: 626-792-8922
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