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1578344891
IVAN ORTIZ
DOWNEY, CA
NPI
1578344891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41673)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
IVAN ORTIZ
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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Mailing Address
IVAN ORTIZ
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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