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1114554227
JACOB ADAM ZAVALA
SAN LUIS OBISPO, CA
NPI
1114554227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41575)
Enumeration Date
2020-03-26
Last Update Date
2020-05-14
Business Address
JACOB ADAM ZAVALA
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401-6771
Phone number: 805-439-4890
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Mailing Address
JACOB ADAM ZAVALA
1153 ASH ST STE B
ARROYO GRANDE, CA 93420-3844
Phone number: 805-458-3659
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