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1871145797
SHO KITADA
FONTANA, CA
NPI
1871145797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 41070)
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
SHO KITADA
14677 MERRILL AVE.
FONTANA, CA 92335
Phone number: 951-643-2340
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Mailing Address
SHO KITADA
2126 EADBURY AVE
ROWLAND HEIGHTS, CA 91748-4030
Phone number:
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