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1386816452
JACK PHILIP PASCOE
GRASS VALLEY, CA
NPI
1386816452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY6959)
Enumeration Date
2008-03-29
Last Update Date
2008-03-29
Business Address
Mr. JACK PHILIP PASCOE Psy.D.
14137 DALMATIAN DR
GRASS VALLEY, CA 95945-9679
Phone number: 530-320-2119
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Mailing Address
Mr. JACK PHILIP PASCOE Psy.D.
PO BOX 614
CEDAR RIDGE, CA 95924-0614
Phone number: 530-320-2119
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