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1568572048
MANOUCHER X TAVAKOLI
RESEDA, CA
NPI
1568572048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy11289)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
Dr. MANOUCHER X TAVAKOLI Ph.D.
18305 SHERMAN WAY #29
RESEDA, CA 91335-4425
Phone number: 818-981-1612
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Mailing Address
Dr. MANOUCHER X TAVAKOLI Ph.D.
PO BOX 55262
SHERMAN OAKS, CA 91413-0262
Phone number: 818-981-1612
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