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1669573143
JOHN STEWART ENSIGN
DAVIS, CA
NPI
1669573143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY14539)
Enumeration Date
2006-09-26
Last Update Date
2022-07-26
Business Address
JOHN STEWART ENSIGN PhD
433 F ST
DAVIS, CA 95616-4111
Phone number: 530-304-0711
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Mailing Address
JOHN STEWART ENSIGN PhD
433 F ST
DAVIS, CA 95616-4111
Phone number: 530-304-0711
Copy
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