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1144932492
JAMES NICHOLAS MADERO
SAN DIEGO, CA
NPI
1144932492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY9558)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
JAMES NICHOLAS MADERO PHD
13368 DARVIEW LN
SAN DIEGO, CA 92129-2388
Phone number: 858-442-4282
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Mailing Address
JAMES NICHOLAS MADERO PHD
13233 BLACK MOUNTAIN ROAD, #200
SAN DIEGO, CA 92129
Phone number: 858-442-4282
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