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Individual

DR. DAVID LYLE GANGSEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3990 OLD TOWN AVE, SUITE C 201, SAN DIEGO, CA 92110
(619) 278-2403
(619) 294-9405
Mailing address
PO BOX 151240, SAN DIEGO, CA 92175
(619) 278-2403
(619) 294-9405

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6363

Other

Enumeration date
02/29/2008
Last updated
02/29/2008
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