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Individual

CHARLES E ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
401 E CYPRESS AVE, LOMPOC, CA 93436-6806
(805) 737-7715
Mailing address
401 E CYPRESS AVE, LOMPOC, CA 93436-6806
(805) 737-7715

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 8967
CA

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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