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1821450016
RYANN THIBODEAUX
LONG BEACH, CA
NPI
1821450016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40036)
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
-- RYANN THIBODEAUX
2385 EASY AVE
LONG BEACH, CA 90810-3334
Phone number: 562-505-6712
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Mailing Address
-- RYANN THIBODEAUX
2385 EASY AVE
LONG BEACH, CA 90810-3334
Phone number: 562-505-6712
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