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1588149017
JACOB J AMBROSE
SAN DIEGO, CA
NPI
1588149017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY34639)
Enumeration Date
2018-10-01
Last Update Date
2024-12-23
Business Address
JACOB J AMBROSE
1110 24TH ST APT 8
SAN DIEGO, CA 92102
Phone number: 619-728-4177
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Mailing Address
JACOB J AMBROSE
1110 24TH STREET APT 8
SAN DIEGO, CA 92102-2000
Phone number: 619-728-4177
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