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1083252142
JUSTIN FENTON
COVINA, CA
NPI
1083252142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 800227)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
JUSTIN FENTON
1161 E COVINA BLVD
COVINA, CA 91724-1523
Phone number: 626-966-1632
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Mailing Address
JUSTIN FENTON
1161 E COVINA BLVD
COVINA, CA 91724-1523
Phone number: 626-966-1632
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