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1821726084
JERRY R EGUSA
HAYWARD, CA
NPI
1821726084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY18324)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
Dr. JERRY R EGUSA Ph.D.
10114 B STREET
HAYWARD, CA 94540
Phone number: 510-733-6895
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Mailing Address
Dr. JERRY R EGUSA Ph.D.
P.O. BOX 6273
HAYWARD, CA 94540
Phone number: 510-733-6895
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