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1942573282
MICKEY J PRICE
BROOKINGS, OR
NPI
1942573282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY20090)
Enumeration Date
2012-02-16
Last Update Date
2012-02-16
Business Address
-- MICKEY J PRICE Psy.D.
919 7TH ST
BROOKINGS, OR 97415-9209
Phone number: 541-787-8776
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Mailing Address
-- MICKEY J PRICE Psy.D.
919 7TH ST
BROOKINGS, OR 97415-9209
Phone number: 541-787-8776
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