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1669404737
CARLOS FAYARD
LOMA LINDA, CA
NPI
1669404737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY12024)
Enumeration Date
2006-07-07
Last Update Date
2007-09-26
Business Address
-- CARLOS FAYARD PhD
11374 MOUNTAIN VIEW AVE SUITE A
LOMA LINDA, CA 92354-3830
Phone number: 909-558-4505
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Mailing Address
-- CARLOS FAYARD PhD
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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