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1215054010
TIM ALAN GERGEN
IRVINE, CA
NPI
1215054010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY9765)
Enumeration Date
2007-03-25
Last Update Date
2007-07-08
Business Address
Dr. TIM ALAN GERGEN PhD
2192 MARTIN SUITE 125
IRVINE, CA 92612-1428
Phone number: 949-851-8001
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Mailing Address
Dr. TIM ALAN GERGEN PhD
26391 GANIZA
MISSION VIEJO, CA 92692-3259
Phone number: 949-851-8001
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