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1912287970
EVANGELINA GUTIERREZ
PASADENA, CA
NPI
1912287970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt 36097)
Enumeration Date
2011-08-23
Last Update Date
2011-08-23
Business Address
Miss EVANGELINA GUTIERREZ LPT
66 HURLBUT ST
PASADENA, CA 91105-4025
Phone number: 626-441-4221
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Mailing Address
Miss EVANGELINA GUTIERREZ LPT
2219 MOUNTAIN AVE
DUARTE, CA 91010
Phone number: 626-827-3833
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