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1285669200
JOHN L MOULTON
CRESCENT CITY, CA
NPI
1285669200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY20637)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
JOHN L MOULTON PH D
5905 LAKE EARL DRIVE
CRESCENT CITY, CA 95531
Phone number: 707-465-1000
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Mailing Address
JOHN L MOULTON PH D
P. O. BOX 1381
CRESCENT CITY, CA 95531
Phone number: 707-465-1000
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