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1609638493
MERCEDES VICTORIA LASA-HALLAS
RIVERSIDE, CA
NPI
1609638493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 25572)
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
MERCEDES VICTORIA LASA-HALLAS
4295 BROCKTON AVE
RIVERSIDE, CA 92501-3446
Phone number: 951-683-6596
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Mailing Address
MERCEDES VICTORIA LASA-HALLAS
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number:
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