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1245760644
LAUREN R WICHHART
COLTON, CA
NPI
1245760644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37924)
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
LAUREN R WICHHART
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
LAUREN R WICHHART
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
Copy
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