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1821213091
MIGUEL GALLARDO
IRVINE, CA
NPI
1821213091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy.D 21360)
Enumeration Date
2007-04-14
Last Update Date
2007-07-08
Business Address
Dr. MIGUEL GALLARDO Psy.D.
18111 VON KARMAN AVE SUITE 209
IRVINE, CA 92612-0199
Phone number: 949-223-2524
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Mailing Address
Dr. MIGUEL GALLARDO Psy.D.
52 BLUEBIRD LN
ALISO VIEJO, CA 92656-1762
Phone number: 949-215-2960
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