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1962547380
BRUCE FARWELL
NORTHRIDGE, CA
NPI
1962547380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY13583)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- BRUCE FARWELL
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-739-5142
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Mailing Address
-- BRUCE FARWELL
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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