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1003369372
SEAN MARSHALL GALLOWAY
SAN LUIS OBISPO, CA
NPI
1003369372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 40085)
Enumeration Date
2016-08-03
Last Update Date
2020-09-07
Business Address
SEAN MARSHALL GALLOWAY
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4275
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Mailing Address
SEAN MARSHALL GALLOWAY
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4275
Copy
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