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Individual
JOSE E CORENA
Active
Individual
JOSE E CORENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21815
CA
Other
Enumeration date
01/16/2008
Last updated
10/27/2009
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