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1063029643
DEIRDRE ERVIN
FONTANA, CA
NPI
1063029643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37128)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
DEIRDRE ERVIN
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
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Mailing Address
DEIRDRE ERVIN
380 N LINDEN AVE APT 201
RIALTO, CA 92376-8428
Phone number: 909-671-2264
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