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1437284239
JACK SANFORD LEVINE
COVINA, CA
NPI
1437284239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy6826)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. JACK SANFORD LEVINE ph.d.
750 TERRADO PLZ SUITE 246
COVINA, CA 91723-3419
Phone number: 626-915-0933
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Mailing Address
Dr. JACK SANFORD LEVINE ph.d.
750 TERRADO PLZ SUITE 246
COVINA, CA 91723-3419
Phone number: 626-915-0933
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