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1417494709
JESSE MALDONADO
SANTA FE SPRINGS, CA
NPI
1417494709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 37719)
Enumeration Date
2017-01-24
Last Update Date
2017-01-24
Business Address
-- JESSE MALDONADO
11025 RINGWOOD AVE
SANTA FE SPRINGS, CA 90670-4337
Phone number: 562-712-9878
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Mailing Address
-- JESSE MALDONADO
11025 RINGWOOD AVE
SANTA FE SPRINGS, CA 90670-4337
Phone number:
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