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1508067299
JACK L. DOMAN
THOUSAND OAKS, CA
NPI
1508067299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC38923)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mr. JACK L. DOMAN LMFT
550 SAINT CHARLES DR SUITE 101A
THOUSAND OAKS, CA 91360-3951
Phone number: 805-480-1167
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Mailing Address
Mr. JACK L. DOMAN LMFT
362 RIDGEMONT CT
NEWBURY PARK, CA 91320-4837
Phone number: 805-480-1167
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