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1629387766
KELSEY MICHAEL BRADSHAW
SAN MARCOS, CA
NPI
1629387766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy28095)
Enumeration Date
2010-10-06
Last Update Date
2016-03-24
Business Address
Mr. KELSEY MICHAEL BRADSHAW Ph.D.
145 VALLECITOS DE ORO STE 210
SAN MARCOS, CA 92069-1459
Phone number: 619-668-6200
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Mailing Address
Mr. KELSEY MICHAEL BRADSHAW Ph.D.
910 DEL DIOS RD APT 93
ESCONDIDO, CA 92029-2250
Phone number: 208-310-9884
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