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1043744709
SHAWN PATRICK POWERS
SAN LUIS OBISPO, CA
NPI
1043744709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 38253)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
SHAWN PATRICK POWERS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-440-1031
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Mailing Address
SHAWN PATRICK POWERS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Phone number: 805-440-1031
Copy
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