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1871748657
STEVEN RALPH COLWELL
FRESNO, CA
NPI
1871748657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT22969)
Enumeration Date
2008-11-20
Last Update Date
2011-11-04
Business Address
-- STEVEN RALPH COLWELL LPT
637 W HAMMOND AVE
FRESNO, CA 93728-2200
Phone number: 559-761-7944
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Mailing Address
-- STEVEN RALPH COLWELL LPT
637 W HAMMOND AVE APT B.
FRESNO, CA 93728-2200
Phone number: 559-761-7944
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