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1134496896
ROBERT WILBUT LAURIDSEN
LOS GATOS, CA
NPI
1134496896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA Psy 5763)
Enumeration Date
2011-11-23
Last Update Date
2011-11-23
Business Address
Dr. ROBERT WILBUT LAURIDSEN Ph.D.
455 LOS GATOS BLVD #202
LOS GATOS, CA 95032-5523
Phone number: 408-356-2141
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Mailing Address
Dr. ROBERT WILBUT LAURIDSEN Ph.D.
19450 REDBERRY DR
LOS GATOS, CA 95030-2928
Phone number: 408-398-4006
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