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1508017617
BRYAN GOMEZ
GLENDORA, CA
NPI
1508017617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34392)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
BRYAN GOMEZ XXX34392
1172 SOUTH GRAND AVE
GLENDORA, CA 91740
Phone number: 626-335-5980
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Mailing Address
BRYAN GOMEZ XXX34392
4122 LINCOLN AVE.
EL MONTE, CA 91731-2108
Phone number: 626-454-2205
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