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1407918832
PETER PONDOLFINO
SANTA ROSA, CA
NPI
1407918832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 24167)
Enumeration Date
2006-12-14
Last Update Date
2013-11-15
Business Address
Dr. PETER PONDOLFINO PsyD
143 ALDERBROOK DR
SANTA ROSA, CA 95405-4650
Phone number: 707-322-4319
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Mailing Address
Dr. PETER PONDOLFINO PsyD
PO BOX 2722
SANTA ROSA, CA 95405
Phone number: 707-322-4319
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