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1619420858
MICHAEL SURBAN
LONG BEACH, CA
NPI
1619420858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TH0004X Psychologist, Health
(Licence: CA 953389108)
Enumeration Date
2016-07-24
Last Update Date
2016-07-24
Business Address
-- MICHAEL SURBAN
2272 PACIFIC AVE # A
LONG BEACH, CA 90806-4312
Phone number: 562-427-8018
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Mailing Address
-- MICHAEL SURBAN
2272 PACIFIC AVE # A #4
LONG BEACH, CA 90806-4312
Phone number: 562-726-6190
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