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1205900032
JEFFERSON TUCKER EDMONDS
SAN DIEGO, CA
NPI
1205900032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT36498)
Enumeration Date
2006-11-20
Last Update Date
2015-12-03
Business Address
Mr. JEFFERSON TUCKER EDMONDS MFT
9620 CHESAPEAKE DR STE. 206
SAN DIEGO, CA 92123-1369
Phone number: 619-814-6590
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Mailing Address
Mr. JEFFERSON TUCKER EDMONDS MFT
PO BOX 609001
SAN DIEGO, CA 92160-9001
Phone number: 619-528-4600
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