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1508324872
DANICA LENE WICKMAN
ORANGE, CA
NPI
1508324872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36986)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
DANICA LENE WICKMAN
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
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Mailing Address
DANICA LENE WICKMAN
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
Copy
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