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Individual

JIM ARNOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6500 MORRO RD, ATASCADERO, CA 93422-4142
(805) 461-5212
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(805) 461-5212

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30862
CA

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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