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1154946952
CARLOS JOEL GAYTAN
RANCHO CUCAMONGA, CA
NPI
1154946952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 94375)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
CARLOS JOEL GAYTAN LCSW
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730-5987
Phone number: 951-384-3286
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Mailing Address
CARLOS JOEL GAYTAN LCSW
PO BOX 1742
RANCHO CUCAMONGA, CA 91729-1742
Phone number: 626-384-0843
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