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1154557064
CHARLES P ROTH
SAN FRANCISCO, CA
NPI
1154557064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA 19541)
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
Dr. CHARLES P ROTH Ph.D.
2538 CALIFORNIA ST
SAN FRANCISCO, CA 94115-2616
Phone number: 415-929-8701
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Mailing Address
Dr. CHARLES P ROTH Ph.D.
2538 CALIFORNIA ST
SAN FRANCISCO, CA 94115-2616
Phone number: 415-929-8701
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