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1114060282
BLAIR KILPATRICK-TABAK
FREMONT, CA
NPI
1114060282
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Other Name
BLAIR KILPATRICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy15604)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Dr. BLAIR KILPATRICK-TABAK PhD
3100 MOWRY AVE STE 410
FREMONT, CA 94538-1509
Phone number: 510-791-1036
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Mailing Address
Dr. BLAIR KILPATRICK-TABAK PhD
1507 ADA ST
BERKELEY, CA 94703-1001
Phone number: 510-526-4848
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