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1699025585
SAMANTHA COLLINS
SAN LUIS OBISPO, CA
NPI
1699025585
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Former Name
SAMANTHA DEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2012-09-18
Last Update Date
2020-04-06
Business Address
SAMANTHA COLLINS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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Mailing Address
SAMANTHA COLLINS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
Copy
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