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1205072931
MARK G WIESNER
SAN DIEGO, CA
NPI
1205072931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 5996)
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
Dr. MARK G WIESNER Ph.D.
5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121-1741
Phone number: 858-457-8419
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Mailing Address
Dr. MARK G WIESNER Ph.D.
5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121-1741
Phone number: 858-457-8419
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