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1760633523
JODY EDWIN DEBRUIN
ATASCADERO, CA
NPI
1760633523
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Professional Name
JOE EDWIN DEBRUIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 21895)
Enumeration Date
2008-10-09
Last Update Date
2013-07-15
Business Address
Dr. JODY EDWIN DEBRUIN Ph.D.
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number: 805-468-2000
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Mailing Address
Dr. JODY EDWIN DEBRUIN Ph.D.
1600 9TH ST ROOM 150 FISCAL ALLOCATIONS AND ESTIMATES UNIT
SACRAMENTO, CA 95814-6414
Phone number: 916-651-9475
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