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1700993003
XAVIER DAVID LARA
FRESNO, CA
NPI
1700993003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A76215)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- XAVIER DAVID LARA M.D.
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-6599
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Mailing Address
-- XAVIER DAVID LARA M.D.
PO BOX 11800
FRESNO, CA 93775-1800
Phone number: 559-453-6599
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