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1366477325
JACK WARD TALLMAN
TUSTIN, CA
NPI
1366477325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC24161)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
MR. JACK WARD TALLMAN MFT/DAPA
17772 IRVINE BLVD SUITE #101
TUSTIN, CA 92780-3256
Phone number: 714-836-1101
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Mailing Address
MR. JACK WARD TALLMAN MFT/DAPA
17772 IRVINE BLVD SUITE #101
TUSTIN, CA 92780-3256
Phone number: 714-836-1101
Copy
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