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1073940086
CARLA BACK-MADRUGA
PLAYA DEL REY, CA
NPI
1073940086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA psy14950)
Enumeration Date
2013-10-04
Last Update Date
2013-10-04
Business Address
Dr. CARLA BACK-MADRUGA PhD
8055 W MANCHESTER AVE SUITE 235
PLAYA DEL REY, CA 90293-7960
Phone number: 319-827-9851
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Mailing Address
Dr. CARLA BACK-MADRUGA PhD
8055 W MANCHESTER AVE SUITE 235
PLAYA DEL REY, CA 90293-7960
Phone number:
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