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1174652440
BURL WAGENHEIM
DOWNEY, CA
NPI
1174652440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 16594)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. BURL WAGENHEIM Ph.D.
7601 IMPERIAL HWY HB 226
DOWNEY, CA 90242-3456
Phone number: 562-401-6320
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Mailing Address
Dr. BURL WAGENHEIM Ph.D.
PO BOX 3335
SEAL BEACH, CA 90740-2335
Phone number: 562-401-6329
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