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1235297136
WILAIM DAVID BOORMAN
SAN LUIS OBISPO, CA
NPI
1235297136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 28462)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- WILAIM DAVID BOORMAN psychiatric technici
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-237-3170
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Mailing Address
-- WILAIM DAVID BOORMAN psychiatric technici
7455 BALBOA RD
ATASCADERO, CA 93422-1188
Phone number: 805-466-6206
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