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Get CA CDPH 279 2014

16) 327-2445 FAX: (916) 324-0901 State of California- Health and Human Services Agency DIRECTOR OF STAFF DEVELOPMENT (DSD) / INSTRUCTOR APPLICATION TYPE OR PRINT LEGIBLY Facility/School/Agency Telephone Number Provider Identification Training Number (ā€œSā€ or ā€œFā€ Number) County Facility / School / Agency Name and Address: Type of Training to be Offered: Orientation and In-Service Training Programs Only Nurse Assistant Training Program (NATP) Only Orientation, In-Service, and NATP A.

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