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1487004149
STEVEN GASTELUM
SAN LUIS OBISPO, CA
NPI
1487004149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 30628)
Enumeration Date
2016-06-14
Last Update Date
2016-06-15
Business Address
-- STEVEN GASTELUM
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
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Mailing Address
-- STEVEN GASTELUM
8595 SAN ANDRES AVE.
ATASCADERO, CA 93422
Phone number: 805-462-2809
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