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1730655960
RETAURA MONA EVANS
LOS ANGELES, CA
NPI
1730655960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41000)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
RETAURA MONA EVANS
5201 S VERMONT AVE
LOS ANGELES, CA 90037-3527
Phone number: 323-751-3026
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Mailing Address
RETAURA MONA EVANS
5201 S VERMONT AVE
LOS ANGELES, CA 90037-3527
Phone number: 323-751-3026
Copy
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