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1366513178
MARK C HEFFERNAN
RANCHO MIRAGE, CA
NPI
1366513178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY14471)
Enumeration Date
2006-11-13
Last Update Date
2017-11-22
Business Address
MARK C HEFFERNAN PH.D.
47 PROVENCE WAY
RANCHO MIRAGE, CA 92270-2727
Phone number: 760-902-6226
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Mailing Address
MARK C HEFFERNAN PH.D.
PO BOX 2128
RANCHO MIRAGE, CA 92270-1055
Phone number: 760-902-6226
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