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1083287536
LISA M NICHOLS
STOCKTON, CA
NPI
1083287536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36474)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
LISA M NICHOLS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
LISA M NICHOLS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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