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1548243413
THERESA GANNON
SACRAMENTO, CA
NPI
1548243413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA PSY16008)
Enumeration Date
2005-11-23
Last Update Date
2011-02-22
Business Address
-- THERESA GANNON Ph.D.
2825 50TH ST UCDHS- MIND INSTITUTE
SACRAMENTO, CA 95817-2308
Phone number: 916-703-0290
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Mailing Address
-- THERESA GANNON Ph.D.
2825 50TH ST UCDHS- MIND INSTITUTE
SACRAMENTO, CA 95817-2308
Phone number: 916-703-0290
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