GARY A BLANK

SANTA ROSA, CA
NPI1316160906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  PSY3303)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
DR. GARY A BLANK PH.D.
2455 BENNETT VALLEY RD SUITE 208B
SANTA ROSA, CA 95404-5663
Phone number: 707-526-2525
Mailing Address
DR. GARY A BLANK PH.D.
2455 BENNETT VALLEY RD SUITE 208B
SANTA ROSA, CA 95404-5663
Phone number: 707-526-2525
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