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1063568509
SANDY PANKRATZ
SAN LUIS OBISPO, CA
NPI
1063568509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt27406)
Enumeration Date
2007-01-26
Last Update Date
2008-11-17
Business Address
-- SANDY PANKRATZ
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4711
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Mailing Address
-- SANDY PANKRATZ
129 W JONES ST APT C
SANTA MARIA, CA 93458-5675
Phone number: 805-352-9294
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