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1164531190
JON COLLADAY
ANTIOCH, CA
NPI
1164531190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA MFCC27095)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- JON COLLADAY MFCC
2225 BUCHANAN RD SUITE H
ANTIOCH, CA 94509-4209
Phone number: 925-753-1986
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Mailing Address
-- JON COLLADAY MFCC
2225 BUCHANAN RD SUITE H
ANTIOCH, CA 94509-4209
Phone number: 925-753-1986
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