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Robert Louis Gaertner

Licensed Psychiatric Technician in Colton, CA. Individual provider (NPI-1).

NPI number1497985147
StatusActive
Last updated in NPPESJul 15, 2009

Details

NPI
1497985147
Entity type
Individual (NPI-1)
Name
Robert Louis Gaertner
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2009
Last updated
Jul 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT34663CAYes

Practice location

400 N Pepper Ave
Colton, CA 92324-1801

Phone 909-580-3144

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801

Phone 909-580-3144

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