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1427098409
GORDON DOUGLAS ROSE
NORWALK, CA
NPI
1427098409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY12141)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- GORDON DOUGLAS ROSE Ph D
11401 SOUTH BLOOMFIELD AVENUE
NORWALK, CA 90650
Phone number: 562-863-7011
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Mailing Address
-- GORDON DOUGLAS ROSE Ph D
1600 9TH STREET ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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