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1962535419
LARRY KENNETH HETRICK
NOVATO, CA
NPI
1962535419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G078733)
Enumeration Date
2007-03-13
Last Update Date
2022-05-17
Business Address
Dr. LARRY KENNETH HETRICK M.D.
606 WILSON AVENUE
NOVATO, CA 94947-3817
Phone number: 415-567-0321
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Mailing Address
Dr. LARRY KENNETH HETRICK M.D.
P.O. BOX 14880
SAN FRANCISCO, CA 94114-0880
Phone number: 415-567-0321
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