Provider Information for 1619721073
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PATRICK ANTHONY TALBOT LMFT
Sex: Male
NPI: 1619721073
Last Updated: 2024-04-12
Certification Date: 2024-04-12
Certification Date: 2024-04-12
Details
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NPI | 1619721073 | ||||||||
Enumeration Date | 2024-04-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1030 DRIFTWOOD LN VENTURA, CA 93001-0823 United States Phone: 805-798-3427 | Fax: | ||||||||
Primary Practice Address | 1030 DRIFTWOOD LN VENTURA, CA 93001-0823 United States Phone: 805-798-3427 | Fax: | ||||||||
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