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1710342415
TASKA FOUGHTY
SAN LUIS OBISPO, CA
NPI
1710342415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 35038)
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
-- TASKA FOUGHTY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
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Mailing Address
-- TASKA FOUGHTY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
Copy
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