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1598025165
LOREN CARRILLO KING
PATTON, CA
NPI
1598025165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA 24445)
Enumeration Date
2012-05-16
Last Update Date
2021-11-29
Business Address
LOREN CARRILLO KING PH.D.
3102 E HIGHLAND AVE
PATTON, CA 92369-7813
Phone number: 909-425-6417
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Mailing Address
LOREN CARRILLO KING PH.D.
PO BOX 90824
SAN BERNARDINO, CA 92427-1824
Phone number:
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