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1538411798
JAYANTA HEGDE
SAN LUIS OBISPO, CA
NPI
1538411798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY26420)
Enumeration Date
2012-10-11
Last Update Date
2019-03-05
Business Address
Dr. JAYANTA HEGDE Ph.D.
1530 MONTEREY ST STE A
SAN LUIS OBISPO, CA 93401-2969
Phone number: 520-241-3033
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Mailing Address
Dr. JAYANTA HEGDE Ph.D.
1701 TANGLEWOOD DR
SAN LUIS OBISPO, CA 93401-6041
Phone number: 520-241-3033
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