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1316979818
CARLTON W. PURVIANCE
VALLEJO, CA
NPI
1316979818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TF0200X Psychologist, Forensic
(Licence: CA PSY4081)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- CARLTON W. PURVIANCE Ph.D.
1416 TENNESSEE ST SUITE 3A
VALLEJO, CA 94590-4647
Phone number: 707-552-6397
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Mailing Address
-- CARLTON W. PURVIANCE Ph.D.
1416 TENNESSEE ST SUITE 3A
VALLEJO, CA 94590-4647
Phone number: 707-552-6397
Copy
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