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1053451062
COYO MELESCIO BURCIAGA
LOS ANGELES, CA
NPI
1053451062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 30761)
Enumeration Date
2007-02-07
Last Update Date
2024-08-07
Business Address
COYO MELESCIO BURCIAGA
155 N OCCIDENTAL BLVD
LOS ANGELES, CA 90026-4641
Phone number: 213-381-2931
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Mailing Address
COYO MELESCIO BURCIAGA
155 N OCCIDENTAL BLVD
LOS ANGELES, CA 90026-4641
Phone number: 213-381-2931
Copy
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