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Individual

DR. DUMONT GARY BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
3142 VISTA WAY, 205, OCEANSIDE, CA 92056-3619
(760) 758-1480
(760) 435-9472
Mailing address
3210 GARRISON ST, SAN DIEGO, CA 92106-2110
(619) 224-3001

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8627
CA

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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