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1962128637
SELENA ROSE REIS
HANFORD, CA
NPI
1962128637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA LPT33084)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
SELENA ROSE REIS LPT
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
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Mailing Address
SELENA ROSE REIS LPT
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
Copy
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