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1144768169
DOUGLAS KEITH EDMONDSON
ORANGE, CA
NPI
1144768169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF66422)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- DOUGLAS KEITH EDMONDSON
1774 N GLASSELL ST
ORANGE, CA 92865-4310
Phone number: 714-932-9641
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Mailing Address
-- DOUGLAS KEITH EDMONDSON
1774 N GLASSELL ST
ORANGE, CA 92865-4310
Phone number: 714-932-9641
Copy
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