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1124780663
LEROY MICHAEL DUCKWORTH
BAKERSFIELD, CA
NPI
1124780663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40667)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
LEROY MICHAEL DUCKWORTH
501 W COLUMBUS ST
BAKERSFIELD, CA 93301-1263
Phone number: 661-328-0245
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Mailing Address
LEROY MICHAEL DUCKWORTH
501 W COLUMBUS ST
BAKERSFIELD, CA 93301-1263
Phone number: 661-328-0245
Copy
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