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1184961351
FREDDIE BUNCH
SAN DIEGO, CA
NPI
1184961351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 26495)
Enumeration Date
2013-01-08
Last Update Date
2015-07-01
Business Address
-- FREDDIE BUNCH LPT
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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Mailing Address
-- FREDDIE BUNCH LPT
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Copy
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