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1811244528
ANNA DELIA LICON
HANFORD, CA
NPI
1811244528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT36367)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- ANNA DELIA LICON
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
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Mailing Address
-- ANNA DELIA LICON
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
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