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1316644792
PARIS CLACK
ROSEVILLE, CA
NPI
1316644792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 42058)
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
PARIS CLACK PT
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6456
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Mailing Address
PARIS CLACK PT
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number:
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