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1720472426
NORMAN GUSTAVSON
VANCOUVER, WA
NPI
1720472426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA 01372)
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
-- NORMAN GUSTAVSON Ph.D.
9340 NE 76TH ST
VANCOUVER, WA 98662-3721
Phone number: 360-253-4912
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Mailing Address
-- NORMAN GUSTAVSON Ph.D.
9340 NE 76TH ST
VANCOUVER, WA 98662-3721
Phone number: 360-253-4912
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