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1508241779
BRIAN LICUANAN
IRVINE, CA
NPI
1508241779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: CA 27276)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
Dr. BRIAN LICUANAN PhD
17 HERRINGBONE
IRVINE, CA 92620
Phone number: 714-469-1418
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Mailing Address
Dr. BRIAN LICUANAN PhD
17 HERRINGBONE
IRVINE, CA 92620
Phone number: 714-469-1418
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