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Individual

MRS. DONNA COLEEN MIKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
18 COUNTY CENTER DRIVE, OROVILLE, CA 95965
(530) 538-7705
(530) 538-2161
Mailing address
5942 MCCLAIN LN, PARADISE, CA 95969
(530) 877-4622

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT8322
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT8322
LICENSE
Enumeration date
12/05/2006
Last updated
07/08/2007
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