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1295594463
ANDREW JAMES WILSON
POMONA, CA
NPI
1295594463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41595)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
ANDREW JAMES WILSON LPT
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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Mailing Address
ANDREW JAMES WILSON LPT
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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