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1023531878
EDWARD LICHTENBERGER
EUREKA, CA
NPI
1023531878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 478902)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
EDWARD LICHTENBERGER RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
EDWARD LICHTENBERGER RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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