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1487080651
PETER S THEODORE
LOS ANGELES, CA
NPI
1487080651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY22511)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
Dr. PETER S THEODORE PHD
116 N ROBERTSON BLVD 805
LOS ANGELES, CA 90048-3103
Phone number: 626-270-3351
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Mailing Address
Dr. PETER S THEODORE PHD
7428 HOLLYWOOD BLVD 202
LOS ANGELES, CA 90046-2800
Phone number: 626-270-3351
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