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1508493495
EBONY RENE VENABLE
SAN BERNARDINO, CA
NPI
1508493495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34496)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
EBONY RENE VENABLE LPT
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 909-361-6472
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Mailing Address
EBONY RENE VENABLE LPT
3572 BANBURY DR APT 31
RIVERSIDE, CA 92505-1928
Phone number: 909-361-6472
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