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Get CA CDPH 8597 2009-2024

(X) in the box adjacent to the appropriate response. 1. Name of Firm: Enter the full name of business, corporation, company, or organization applying for licensure. 2. DBA: Enter any other name(s) your company is doing business as. 3. 5. Facility Address: Enter the number, street, city, state, and ZIP code for this facility location. 6. 8. Mailing Address: Enter the full mailing address if different from the facility address. 9. Facility Operator: Enter the full name of the person who m.

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