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1235240367
PETER LYNN KINGAN
PATCHOGUE, NY
NPI
1235240367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: NY 0011037)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. PETER LYNN KINGAN Ph.D.
31 OAK ST 21
PATCHOGUE, NY 11772-2887
Phone number: 631-447-6425
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Mailing Address
Dr. PETER LYNN KINGAN Ph.D.
31 OAK ST 21
PATCHOGUE, NY 11772-2887
Phone number: 631-447-6425
Copy
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