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1952498388
RANDY LAWRENCE CARRILLO
LA MESA, CA
NPI
1952498388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 35837)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Mr. RANDY LAWRENCE CARRILLO MA MFT
5185 COMANCHE DR SUITE B
LA MESA, CA 91941-3558
Phone number: 619-506-7412
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Mailing Address
Mr. RANDY LAWRENCE CARRILLO MA MFT
5185 COMANCHE DR SUITE B
LA MESA, CA 91941
Phone number: 619-506-7412
Copy
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