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1154106946
JEVONNE FOSTER
FONTANA, CA
NPI
1154106946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36476)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
JEVONNE FOSTER
15217 SAN BERNARDINO AVE
FONTANA, CA 92335-5327
Phone number: 909-908-6496
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Mailing Address
JEVONNE FOSTER
15217 SAN BERNARDINO AVE
FONTANA, CA 92335-5327
Phone number:
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