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1790971000
LARA SAN-PEDRO
FREMONT, CA
NPI
1790971000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY28229)
Enumeration Date
2007-09-20
Last Update Date
2017-02-02
Business Address
-- LARA SAN-PEDRO Psy.D
39210 STATE ST STE 200
FREMONT, CA 94538-1456
Phone number: 209-373-0884
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Mailing Address
-- LARA SAN-PEDRO Psy.D
4266 SEDGE ST
FREMONT, CA 94555-1151
Phone number: 209-373-0884
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