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1992133524
KIRSTEN FANTZ
FRESNO, CA
NPI
1992133524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37243)
Enumeration Date
2013-10-16
Last Update Date
2013-10-17
Business Address
-- KIRSTEN FANTZ L.P.T.
3636 N 1ST ST 162; 135
FRESNO, CA 93726-6800
Phone number: 559-221-1107
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Mailing Address
-- KIRSTEN FANTZ L.P.T.
3636 N 1ST ST 162; 135
FRESNO, CA 93726-6800
Phone number: 559-221-1107
Copy
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