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1467159103
TYLER LEE ISQUIRDO
SACRAMENTO, CA
NPI
1467159103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40396)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
TYLER LEE ISQUIRDO
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
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Mailing Address
TYLER LEE ISQUIRDO
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
Copy
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