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Individual

AUGUSTINE PANCHOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
101 E REDLANDS BLVD, #234, REDLANDS, CA 92373-4775
(909) 335-3026
Mailing address
615 E LUGONIA AVE, #3, REDLANDS, CA 92374-2487
(909) 798-2239

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB 33585
CA

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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