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1558006155
LISA CARRILLO
SACRAMENTO, CA
NPI
1558006155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT35122)
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
LISA CARRILLO
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
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Mailing Address
LISA CARRILLO
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
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