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1346754025
ISATA S MBAWA
SAN JOSE, CA
NPI
1346754025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37848)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
Ms. ISATA S MBAWA LPT
4987 SPEAK LN
SAN JOSE, CA 95118-2767
Phone number: 408-417-1164
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Mailing Address
Ms. ISATA S MBAWA LPT
4987 SPEAK LN
SAN JOSE, CA 95118-2767
Phone number: 408-417-1164
Copy
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