Provider Information for 1306122742
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Mr. DAVID ANTHONY PECORARO MFT, CEAP
Sex: Male
NPI: 1306122742
Last Updated: 2011-10-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1306122742 | ||||||||
| Enumeration Date | 2011-10-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 16704 CLARK AVE BELLFLOWER, CA 90706-5204 United States Phone: 562-867-1737 | Fax:562-867-6717 | ||||||||
| Primary Practice Address | 16704 CLARK AVE BELLFLOWER, CA 90706-5204 United States Phone: 562-867-1737 | Fax:562-867-6717 | ||||||||
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