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1770074106
EDGAR JESUS MEDINA
LONG BEACH, CA
NPI
1770074106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 32653)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
EDGAR JESUS MEDINA LPT
4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804-6960
Phone number: 562-537-4225
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Mailing Address
EDGAR JESUS MEDINA LPT
4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804-6960
Phone number: 562-537-4225
Copy
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