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1447865308
GERTRUDE CARRILLO
LAKE FOREST, CA
NPI
1447865308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 4986)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
GERTRUDE CARRILLO
22722 LAMBERT ST STE 1711
LAKE FOREST, CA 92630-1618
Phone number: 949-329-8161
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Mailing Address
GERTRUDE CARRILLO
22722 LAMBERT ST STE 1711
LAKE FOREST, CA 92630-1618
Phone number:
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