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1356754212
CARLOS CHAVEZ
SAN BERNARDINO, CA
NPI
1356754212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37203)
Enumeration Date
2014-06-09
Last Update Date
2016-08-08
Business Address
-- CARLOS CHAVEZ
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
-- CARLOS CHAVEZ
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Copy
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