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Individual

MARY DELORES GUTIERREZ-GAUCIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
9864 BALDWIN PL, EL MONTE, CA 91731-2202
(626) 433-1311
Mailing address
511 ALMOND AVE, MONROVIA, CA 91016-3603
(626) 833-3482

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31324
CA

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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