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1932371036
EVELYN GREEN
COLTON, CA
NPI
1932371036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT32992)
Enumeration Date
2008-03-28
Last Update Date
2008-03-28
Business Address
-- EVELYN GREEN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
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Mailing Address
-- EVELYN GREEN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
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