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1700821410
VIKTOR YETIMOVICH KAGAN
SAN DIEGO, CA
NPI
1700821410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 32375)
Enumeration Date
2006-06-17
Last Update Date
2007-08-09
Business Address
Dr. VIKTOR YETIMOVICH KAGAN
4715 VIEWRIDGE AVE 230
SAN DIEGO, CA 92123-1658
Phone number: 800-257-8715
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Mailing Address
Dr. VIKTOR YETIMOVICH KAGAN
PO BOX 835062
RICHARDSON, TX 75083-5062
Phone number: 214-796-8765
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