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1093226417
CHAMILLE SEANTE TATE
POMONA, CA
NPI
1093226417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT37946)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
CHAMILLE SEANTE TATE
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
CHAMILLE SEANTE TATE
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
Copy
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