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1316960958
DANIEL ROBERT MODEL
SANTA CRUZ, CA
NPI
1316960958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY 19315)
Enumeration Date
2006-07-25
Last Update Date
2023-08-24
Business Address
DANIEL ROBERT MODEL PSY
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4100
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Mailing Address
DANIEL ROBERT MODEL PSY
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4100
Copy
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