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1134240435
DENISE KATHLEEN STAFFORD
STOCKTON, CA
NPI
1134240435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT28140)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
MRS. DENISE KATHLEEN STAFFORD PT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
MRS. DENISE KATHLEEN STAFFORD PT
2227 BARNACLE CT
STOCKTON, CA 95206-5912
Phone number: 209-234-5701
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