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1679014500
JUAN OTENNEY
PASADENA, CA
NPI
1679014500
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Former Name
JUAN R. OLVERA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT29037)
Enumeration Date
2017-03-10
Last Update Date
2019-01-25
Business Address
Mr. JUAN OTENNEY LPT
1460 N LAKE AVE
PASADENA, CA 91104-2300
Phone number: 626-294-1079
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Mailing Address
Mr. JUAN OTENNEY LPT
1460 N LAKE AVE
PASADENA, CA 91104-2300
Phone number:
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