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1578005328
ROBERT CHAVEZ
COLTON, CA
NPI
1578005328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40179)
Enumeration Date
2016-11-10
Last Update Date
2016-11-10
Business Address
-- ROBERT CHAVEZ
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
-- ROBERT CHAVEZ
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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