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1255903845
GLEN ANDREW CANTER
SAN LUIS OBISPO, CA
NPI
1255903845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 32987)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
MR. GLEN ANDREW CANTER LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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Mailing Address
MR. GLEN ANDREW CANTER LPT
4332 TRANQUILLA AVE
ATASCADERO, CA 93422-2867
Phone number: 805-234-4713
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