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1720361223
MIA LANKFORD
COLTON, CA
NPI
1720361223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT33452)
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
MIA LANKFORD
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
MIA LANKFORD
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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