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1679959696
STEPHANIE VICKERS
PASADENA, CA
NPI
1679959696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 30787)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- STEPHANIE VICKERS
36 S KINNELOA AVE SUITE 200
PASADENA, CA 91107-3853
Phone number: 626-844-3033
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Mailing Address
-- STEPHANIE VICKERS
36 S KINNELOA AVE SUITE 200
PASADENA, CA 91107-3853
Phone number: 626-844-3033
Copy
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