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1558825703
DARREN TEMPEST BURTENSHAW
BANNING, CA
NPI
1558825703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
DARREN TEMPEST BURTENSHAW
1330 W RAMSEY ST
BANNING, CA 92220-4477
Phone number: 951-849-7142
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Mailing Address
DARREN TEMPEST BURTENSHAW
83582 BIG BEAR PL
COACHELLA, CA 92236-6804
Phone number: 760-861-0675
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