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1457797862
MARY LEONA FISHER
COSTA MESA, CA
NPI
1457797862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 23452)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
-- MARY LEONA FISHER 16/1964
151 KALMUS DR STE K3
COSTA MESA, CA 92626-5975
Phone number: 714-384-3870
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Mailing Address
-- MARY LEONA FISHER 16/1964
115 PASEO DE LA SERENATA
SAN CLEMENTE, CA 92672-4351
Phone number: 949-842-0569
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