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1588815591
ERICA Y FUENTES
WEST COVINA, CA
NPI
1588815591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT34421)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
-- ERICA Y FUENTES
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
-- ERICA Y FUENTES
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
Copy
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