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1205937489
MARK ELLIS LITYNSKY
MODESTO, CA
NPI
1205937489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 7499)
Enumeration Date
2006-09-26
Last Update Date
2013-09-03
Business Address
-- MARK ELLIS LITYNSKY Ph.D.
3425 COFFEE RD SUITE 2A
MODESTO, CA 95355-1582
Phone number: 209-524-9401
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Mailing Address
-- MARK ELLIS LITYNSKY Ph.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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