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1770207086
RANDY CHAVEZ
SAN LUIS OBISPO, CA
NPI
1770207086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 35976)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
RANDY CHAVEZ
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4723
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Mailing Address
RANDY CHAVEZ
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number:
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