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1700638285
LAVINDER BAGDWAL
SAN LUIS OBISPO, CA
NPI
1700638285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34030)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
LAVINDER BAGDWAL
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401-6768
Phone number: 805-439-4890
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Mailing Address
LAVINDER BAGDWAL
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401-6768
Phone number: 805-439-4890
Copy
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