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1104378827
SAMBO POT
STOCKTON, CA
NPI
1104378827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT33626)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- SAMBO POT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
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Mailing Address
-- SAMBO POT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number:
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