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1265831754
SARA HARDISTY
SAN LUIS OBISPO, CA
NPI
1265831754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 38394)
Enumeration Date
2014-08-20
Last Update Date
2016-01-29
Business Address
-- SARA HARDISTY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Phone number: 805-781-4752
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Mailing Address
-- SARA HARDISTY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-782-4752
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