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1700296357
JEANETTE PENA
SANTA FE SPRINGS, CA
NPI
1700296357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT37341)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- JEANETTE PENA
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3675
Phone number: 562-949-8455
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Mailing Address
-- JEANETTE PENA
12016 ARLEE AVE
NORWALK, CA 90650-2429
Phone number: 562-412-3353
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