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1417147703
MARK DAVID ETTENSOHN
SACRAMENTO, CA
NPI
1417147703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 25461)
Enumeration Date
2007-08-01
Last Update Date
2013-01-03
Business Address
Dr. MARK DAVID ETTENSOHN Psy.D.
835 UNIVERSITY AVE
SACRAMENTO, CA 95825-6724
Phone number: 916-538-3019
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Mailing Address
Dr. MARK DAVID ETTENSOHN Psy.D.
835 UNIVERSITY AVE
SACRAMENTO, CA 95825-6724
Phone number: 916-538-3019
Copy
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