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1871622761
AGATHA N IHENACHO
SAN JOSE, CA
NPI
1871622761
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Professional Name
AGATHA N EZEKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt31594)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- AGATHA N IHENACHO LPT
455 SILICON VALLEY BLVD
SAN JOSE, CA 95138
Phone number: 408-284-9000
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Mailing Address
-- AGATHA N IHENACHO LPT
6381 BLACKBERRY CT
GILROY, CA 95020-3424
Phone number: 408-848-9802
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