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1124462734
JEREMIAH EDWARDS
LOS ANGELES, CA
NPI
1124462734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36785)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
-- JEREMIAH EDWARDS LPT
3881 S WESTERN AVE 2500 WILSHIRE BLVD SUITE 500
LOS ANGELES, CA 90062-1105
Phone number: 213-639-0251
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Mailing Address
-- JEREMIAH EDWARDS LPT
1601 S GAREY AVE SPC 61
POMONA, CA 91766-5260
Phone number: 909-272-7989
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