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1881728350
DAVID WILD
LONG BEACH, CA
NPI
1881728350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC46387)
Enumeration Date
2007-03-15
Last Update Date
2013-05-22
Business Address
-- DAVID WILD
5150 E PACIFIC COAST HWY
LONG BEACH, CA 90804-3312
Phone number: 562-490-7640
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Mailing Address
-- DAVID WILD
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804-3394
Phone number: 562-490-7640
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