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1902473986
LAWRENCE EDWARD ROCK
FONTANA, CA
NPI
1902473986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 35560)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
LAWRENCE EDWARD ROCK
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
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Mailing Address
LAWRENCE EDWARD ROCK
9039 BLUFORD AVE
WHITTIER, CA 90602-3517
Phone number: 562-587-4232
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