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1013045459
WANDA S SHORT
YUBA CITY, CA
NPI
1013045459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT27571)
Enumeration Date
2007-02-28
Last Update Date
2011-12-20
Business Address
MRS. WANDA S SHORT LPT 27571
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8828
Phone number: 530-822-7200
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Mailing Address
MRS. WANDA S SHORT LPT 27571
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8828
Phone number: 530-822-7200
Copy
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