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1326111360
DENEICE TELL
SANTA MARIA, CA
NPI
1326111360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 28285)
Enumeration Date
2006-11-16
Last Update Date
2020-06-16
Business Address
DENEICE TELL LPT
124 CARMEN LN STE K
SANTA MARIA, CA 93458-7768
Phone number: 805-335-4996
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Mailing Address
DENEICE TELL LPT
1199 E RICE RANCH RD
SANTA MARIA, CA 93455-5650
Phone number: 805-934-6380
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