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Individual

MR. COLIN ROSS ZIMBLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
72 MOODY CT, 2ND FLOOR, THOUSAND OAKS, CA 91360-6067
(805) 777-3542
(805) 777-3515
Mailing address
3519 PADARO LN, CARPINTERIA, CA 93013-1119
(805) 453-3311

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
08/03/2008
Last updated
08/03/2008
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