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1306913769
LISA M NAKATA
VALLEJO, CA
NPI
1306913769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 17809)
Enumeration Date
2006-11-29
Last Update Date
2022-01-03
Business Address
DR. LISA M NAKATA PH.D
1761 BROADWAY ST STE 100
VALLEJO, CA 94589-2227
Phone number: 707-645-2700
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Mailing Address
DR. LISA M NAKATA PH.D
1761 BROADWAY ST STE 100
VALLEJO, CA 94589-2227
Phone number: 707-645-2700
Copy
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