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1508681990
KATHLEEN BASCO
FAIRFIELD, CA
NPI
1508681990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37313)
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
KATHLEEN BASCO
1480 DESCANSO LN
FAIRFIELD, CA 94533-7149
Phone number: 909-838-1514
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Mailing Address
KATHLEEN BASCO
1480 DESCANSO LN
FAIRFIELD, CA 94533-7149
Phone number: 909-838-1514
Copy
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