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1003664350
BROOKE BAXSTRESSER
SAN LUIS OBISPO, CA
NPI
1003664350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41163)
Enumeration Date
2024-05-10
Last Update Date
2024-08-20
Business Address
BROOKE BAXSTRESSER
2975 MCMILLAN AVE STE 162
SAN LUIS OBISPO, CA 93401-6768
Phone number: 805-439-4890
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Mailing Address
BROOKE BAXSTRESSER
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401-6768
Phone number: 805-439-4890
Copy
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