EZRA ROBERT NORDIN DUREAULT

MONROVIA, CA
NPI1932730454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT41197)
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
EZRA ROBERT NORDIN DUREAULT LPT
902 S MYRTLE AVE
MONROVIA, CA 91016-3427
Phone number: 626-357-3258
Mailing Address
EZRA ROBERT NORDIN DUREAULT LPT
160 E PASADENA ST
POMONA, CA 91767-4604
Phone number:
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