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1114935574
CARLOS G LOPEZ
SAN RAFAEL, CA
NPI
1114935574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 152317)
Enumeration Date
2006-08-03
Last Update Date
2017-04-26
Business Address
-- CARLOS G LOPEZ MD
3270 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-2377
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Mailing Address
-- CARLOS G LOPEZ MD
3270 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-2377
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