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1346585510
MARK LUKASIK
SAN DIEGO, CA
NPI
1346585510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY15828)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
Dr. MARK LUKASIK
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500
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Mailing Address
Dr. MARK LUKASIK
PO BOX 531592
SAN DIEGO, CA 92153-1592
Phone number:
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