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Individual

MR. WIL ORTUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
835 3RD AVE, STE C, CHULA VISTA, CA 91911-1352
(619) 427-4661
(619) 426-7849
Mailing address
835 3RD AVE, STE C, CHULA VISTA, CA 91911-1352
(619) 427-4661
(619) 426-7849

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 24807
CA

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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