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1629160817
JOSE J DERGAN
DORAL, FL
NPI
1629160817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY 004206)
Enumeration Date
2006-09-28
Last Update Date
2010-11-22
Business Address
Dr. JOSE J DERGAN PSY.D
8249 NW 36TH ST STE 102
DORAL, FL 33166-6673
Phone number: 305-599-1970
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Mailing Address
Dr. JOSE J DERGAN PSY.D
8249 NW 36TH ST STE 102
DORAL, FL 33166-6673
Phone number: 305-599-1970
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