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1558695718
IAN THOMAS JOHANSEN
CERRITOS, CA
NPI
1558695718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY22833)
Enumeration Date
2009-09-21
Last Update Date
2009-09-21
Business Address
Dr. IAN THOMAS JOHANSEN Ph.D.
17215 STUDEBAKER RD SUITE #110
CERRITOS, CA 90703-2548
Phone number: 562-860-2210
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Mailing Address
Dr. IAN THOMAS JOHANSEN Ph.D.
17215 STUDEBAKER RD SUITE #110
CERRITOS, CA 90703-2548
Phone number: 562-860-2210
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