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1609212786
MARIO D THOMPSON
COLTON, CA
NPI
1609212786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34566)
Enumeration Date
2013-05-16
Last Update Date
2013-05-16
Business Address
-- MARIO D THOMPSON
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- MARIO D THOMPSON
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
Copy
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