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1548727803
MARK YELLEN
SAN LUIS OBISPO, CA
NPI
1548727803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
MARK YELLEN
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 916-317-0007
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Mailing Address
MARK YELLEN
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number:
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