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1710712583
DANIEL JAMES LANGE
SAN DIEGO, CA
NPI
1710712583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Student)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
DANIEL JAMES LANGE
10493 CROSSCREEK TERRACE
SAN DIEGO, CA 92131-1344
Phone number: 843-263-5057
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Mailing Address
DANIEL JAMES LANGE
10493 CROSSCREEK TER
SAN DIEGO, CA 92131-1344
Phone number:
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