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1902002785
ROBERTO FABIAN LAZCANO
OAKLAND, CA
NPI
1902002785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 21177)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
-- ROBERTO FABIAN LAZCANO Ph.D.
3301 E 12TH ST SUITE 259
OAKLAND, CA 94601-3424
Phone number: 510-269-9084
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Mailing Address
-- ROBERTO FABIAN LAZCANO Ph.D.
2094 DONALD DR
MORAGA, CA 94556-1402
Phone number: 510-612-4659
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