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Individual

PATRICK ROBERT OSTRANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.T.

Contact information

Practice address
991 PARALLEL DR, LAKEPORT, CA 95453-5720
(707) 263-4338
(707) 263-1507
Mailing address
8765 SERRANO WAY, KELSEYVILLE, CA 95451-9525
(707) 277-8500
(707) 277-0961

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT21425
CA

Other

Enumeration date
12/29/2006
Last updated
07/08/2007
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