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1265191878
LARQUINTA AVILA
SYLMAR, CA
NPI
1265191878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA LPT38061)
Enumeration Date
2021-12-10
Last Update Date
2024-08-02
Business Address
LARQUINTA AVILA
14129 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5308
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Mailing Address
LARQUINTA AVILA
14129 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5308
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