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Individual
DWIGHT OWEN MCCAN
Active
Individual
DWIGHT OWEN MCCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170154882
UNITED STATES UNIFORMED SERVICES
CA
Enumeration date
04/15/2020
Last updated
04/15/2020
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