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1992916407
DANIEL DOUGLAS GUSTAFSON
TUSTIN, CA
NPI
1992916407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC20080)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Mr. DANIEL DOUGLAS GUSTAFSON MFT
14751 PLAZA DR UNIT F
TUSTIN, CA 92780-2702
Phone number: 714-284-7445
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Mailing Address
Mr. DANIEL DOUGLAS GUSTAFSON MFT
3 PARMA
IRVINE, CA 92602-1656
Phone number: 714-505-5780
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