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1184187957
EMERSON SOUSA
PASADENA, CA
NPI
1184187957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40612)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
EMERSON SOUSA LPT
2900 E DEL MAR BLVD
PASADENA, CA 91107-4375
Phone number: 626-795-9901
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Mailing Address
EMERSON SOUSA LPT
2706 S BAKER AVE
ONTARIO, CA 91761-7222
Phone number: 909-450-6670
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