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1154188308
DAVID MINA LOUCKA
SYLMAR, CA
NPI
1154188308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT41035)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
DAVID MINA LOUCKA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307
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Mailing Address
DAVID MINA LOUCKA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307
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