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1265669212
DAVID WISE
SEBASTOPOL, CA
NPI
1265669212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY4050)
Enumeration Date
2009-06-17
Last Update Date
2009-06-17
Business Address
-- DAVID WISE Ph.D.
12470 FIORI LANE
SEBASTOPOL, CA 95472
Phone number: 707-874-2225
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Mailing Address
-- DAVID WISE Ph.D.
12470 FIORI LANE
SEBASTOPOL, CA 95472
Phone number: 707-874-2225
Copy
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