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1114040003
ROY FREDRICK BOKELMAN
STOCKTON, CA
NPI
1114040003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT32628)
Enumeration Date
2007-04-08
Last Update Date
2007-07-08
Business Address
Mr. ROY FREDRICK BOKELMAN PT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
Mr. ROY FREDRICK BOKELMAN PT
1535 CRESTWOOD AVE #1
MANTECA, CA 95336-2840
Phone number: 209-923-0961
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