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Individual
DR. MARK JEFFREY VIGIL DOMBECK
Active
Individual
DR. MARK JEFFREY VIGIL DOMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY25695
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY25695
CA
103TC0700X
Clinical Psychologist
Primary
PSY25695
CA
Other
Enumeration date
05/01/2013
Last updated
11/19/2017
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