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1023151248
HEATHER JOANN GALLOWAY
SAN LUIS OBISPO, CA
NPI
1023151248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT30859)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- HEATHER JOANN GALLOWAY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4711
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Mailing Address
-- HEATHER JOANN GALLOWAY
4655 PORTOLA RD.
ATASCADERO, CA 93422
Phone number: 805-235-6982
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