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Individual

DR. GARY J MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
100 PRISON RD, REPRESA, CA 95671-0002
(916) 985-8610
Mailing address
PO BOX 290001, REPRESA, CA 95671-0002

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21347
CA

Other

Enumeration date
02/02/2008
Last updated
08/27/2010
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