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1225287568
RICARDO CARRILLO
BERKELEY, CA
NPI
1225287568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY11696)
Enumeration Date
2008-09-11
Last Update Date
2015-03-02
Business Address
RICARDO CARRILLO PHD
2576 SHATTUCK AVE STE 3
BERKELEY, CA 94704-2724
Phone number: 559-804-1671
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Mailing Address
RICARDO CARRILLO PHD
807 ADAMS CT
PINOLE, CA 94564-2336
Phone number: 559-804-1671
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