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1457438624
MARK D POLOWAY
OCEANSIDE, CA
NPI
1457438624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY8883)
Enumeration Date
2006-11-01
Last Update Date
2016-12-28
Business Address
-- MARK D POLOWAY PH.D.
2181 EL CAMINO REAL SUITE 205
OCEANSIDE, CA 92054-6222
Phone number: 760-612-5490
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Mailing Address
-- MARK D POLOWAY PH.D.
4006 ISLE DR
CARLSBAD, CA 92008-3615
Phone number: 760-612-5490
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