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1316702210
GUSTAVO MARCELO CONGO
REDLANDS, CA
NPI
1316702210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 4334)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
GUSTAVO MARCELO CONGO PPS, LEP
1970 FURLOW DR
REDLANDS, CA 92374-1646
Phone number: 909-329-4264
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Mailing Address
GUSTAVO MARCELO CONGO PPS, LEP
PO BOX 8124
REDLANDS, CA 92375-1324
Phone number:
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