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1356483325
GABRIEL A CASILLAS
WEST COVINA, CA
NPI
1356483325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT30357)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- GABRIEL A CASILLAS
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
-- GABRIEL A CASILLAS
4460 CARMEN ST
CHINO, CA 91710-3970
Phone number: 626-290-3167
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