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1215025812
ROY RANDOLPH ORTEGA
DOWNEY, CA
NPI
1215025812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT21953)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. ROY RANDOLPH ORTEGA LPT111
10908 HASTY AVE
DOWNEY, CA 90241-4026
Phone number: 562-861-7099
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Mailing Address
Mr. ROY RANDOLPH ORTEGA LPT111
10908 HASTY AVE
DOWNEY, CA 90241-4026
Phone number: 562-861-7099
Copy
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