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1346097243
LAURA L VIDAL
BERKELEY, CA
NPI
1346097243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-30
Last Update Date
2024-05-09
Business Address
LAURA L VIDAL Psy.D.
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709-2139
Phone number: 510-841-8484
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Mailing Address
LAURA L VIDAL Psy.D.
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709-2139
Phone number: 510-841-8484
Copy
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