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1881100451
MICAHEL ANTHONY SOTO
WEST COVINA, CA
NPI
1881100451
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Professional Name
MICHAEL ANTHONY SOTO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT40658)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
MICAHEL ANTHONY SOTO LPT
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
MICAHEL ANTHONY SOTO LPT
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
Copy
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