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1245331172
LEE JAMES ERVIN
MODESTO, CA
NPI
1245331172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY8985)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. LEE JAMES ERVIN PH.D.
2020 STANDIFORD AVE SUITE E-1
MODESTO, CA 95350-6529
Phone number: 209-529-2084
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Mailing Address
Dr. LEE JAMES ERVIN PH.D.
2020 STANDIFORD AVE SUITE E-1
MODESTO, CA 95350-6529
Phone number: 209-529-2084
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