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1699859926
EUGENE ALBERT MODELL
CAMARILLO, CA
NPI
1699859926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 5021)
Enumeration Date
2006-10-24
Last Update Date
2016-10-26
Business Address
Dr. EUGENE ALBERT MODELL Ph.D.
1601 CARMEN DR STE 211
CAMARILLO, CA 93010-3103
Phone number: 805-987-3727
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Mailing Address
Dr. EUGENE ALBERT MODELL Ph.D.
1601 CARMEN DR STE 211
CAMARILLO, CA 93010-3103
Phone number: 805-987-3727
Copy
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