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Individual

DR. JACK P VOGNSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1102 SANCHEZ STREET, SAN FRANCISCO, CA 94114
(415) 550-1516
Mailing address
1102 SANCHEZ STREET, SAN FRANCISCO, CA 94114
(415) 550-1516

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3609
CA

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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