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1306597174
AEMON JAMES KOLASIENSKI
SAN LUIS OBISPO, CA
NPI
1306597174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41518)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
AEMON JAMES KOLASIENSKI PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4711
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Mailing Address
AEMON JAMES KOLASIENSKI PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number:
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