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1649844176
JOHN DAVID BLACK
SANTA ANA, CA
NPI
1649844176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
Mr. JOHN DAVID BLACK MHRT
2249 N.M YALE STREET
SANTA ANA, CA 91045
Phone number: 323-877-7303
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Mailing Address
Mr. JOHN DAVID BLACK MHRT
634B EUCLID AVE
DUARTE, CA 91010-3110
Phone number: 323-877-7303
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