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1083908248
ETHAN ITTNER
CHICO, CA
NPI
1083908248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 20A13826)
Enumeration Date
2011-06-06
Last Update Date
2017-11-10
Business Address
ETHAN ITTNER D.O.
3247 ESPLANADE
CHICO, CA 95973-4969
Phone number: 530-883-8535
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Mailing Address
ETHAN ITTNER D.O.
3247 ESPLANADE
CHICO, CA 95973-4969
Phone number: 970-406-0008
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