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1710124078
TRACI TERRY
OXNARD, CA
NPI
1710124078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT33125)
Enumeration Date
2009-01-08
Last Update Date
2013-05-08
Business Address
TRACI TERRY LPT
2216 MIRAMAR WALK
OXNARD, CA 93035-2628
Phone number: 805-290-9787
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Mailing Address
TRACI TERRY LPT
2216 MIRAMAR WALK
OXNARD, CA 93035
Phone number:
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