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1518065572
KENNETH PUGH
SACRAMENTO, CA
NPI
1518065572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT26022)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- KENNETH PUGH LPT
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
-- KENNETH PUGH LPT
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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