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1245061480
LUIS MADRIGAL
LODI, CA
NPI
1245061480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: CA 210013031)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LUIS MADRIGAL
1305 E VINE ST
LODI, CA 95240-3179
Phone number: 209-331-7085
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Mailing Address
LUIS MADRIGAL
1305 E VINE ST
LODI, CA 95240-3179
Phone number: 209-331-7085
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