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1972671899
JACK LEE FARMER
SAN DIEGO, CA
NPI
1972671899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 16037)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Dr. JACK LEE FARMER PhD
1202 MORENA BLVD SUITE 300
SAN DIEGO, CA 92110-3841
Phone number: 619-275-0822
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Mailing Address
Dr. JACK LEE FARMER PhD
1202 MORENA BLVD SUITE 300
SAN DIEGO, CA 92110-3841
Phone number: 619-275-0822
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