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1114347382
MAYRA QUEZADA
EL MONTE, CA
NPI
1114347382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT37417)
Enumeration Date
2014-04-25
Last Update Date
2016-04-28
Business Address
-- MAYRA QUEZADA
3569 LEXINGTON AVE
EL MONTE, CA 91731-2607
Phone number: 626-453-3399
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Mailing Address
-- MAYRA QUEZADA
6771 ORIZABA AVE
LONG BEACH, CA 90805-1934
Phone number: 310-714-2683
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