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1629512421
GODWIN KEBILA KABA
SAN JOSE, CA
NPI
1629512421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT37777)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
Mr. GODWIN KEBILA KABA PT
344 LOS PINOS WAY
SAN JOSE, CA 95123-5117
Phone number: 408-759-1924
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Mailing Address
Mr. GODWIN KEBILA KABA PT
344 LOS PINOS WAY
SAN JOSE, CA 95123-5117
Phone number: 408-759-1924
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