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1689130288
SHAKORA HOLT
SAN LUIS OBISPO, CA
NPI
1689130288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34742)
Enumeration Date
2019-02-19
Last Update Date
2019-03-06
Business Address
SHAKORA HOLT LPT
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
SHAKORA HOLT LPT
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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