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1588947972
JEZEREY MANALO
LOS ANGELES, CA
NPI
1588947972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT35302)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
-- JEZEREY MANALO
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031-2359
Phone number: 323-644-2000
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Mailing Address
-- JEZEREY MANALO
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031-2359
Phone number: 323-644-2000
Copy
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