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1740266576
ERIC G POTTERAT
SAN DIEGO, CA
NPI
1740266576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY16741)
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
Dr. ERIC G POTTERAT Ph.D.
NAVAL SPECIAL WARFARE CENTER 2446 TRIDENT WAY
SAN DIEGO, CA 92155-5494
Phone number: 619-437-3652
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Mailing Address
Dr. ERIC G POTTERAT Ph.D.
11865 ARBORLAKE WAY
SAN DIEGO, CA 92131-2608
Phone number: 619-437-3652
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