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1255716098
GRACE JUNKO GERARDO
LOS ANGELES, CA
NPI
1255716098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2015-07-22
Last Update Date
2015-07-22
Business Address
-- GRACE JUNKO GERARDO LPT
226 S. AVE. 52
LOS ANGELES, CA 90042-4504
Phone number: 213-884-2599
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Mailing Address
-- GRACE JUNKO GERARDO LPT
226 S AVE 52
LOS ANGELES, CA 90042-4504
Phone number: 213-884-2599
Copy
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