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1164952537
MAITENG LOR
STOCKTON, CA
NPI
1164952537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY34213)
Enumeration Date
2017-06-18
Last Update Date
2023-06-06
Business Address
MAITENG LOR
7707 AUSTIN RD
STOCKTON, CA 95215-8312
Phone number: 209-467-2500
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Mailing Address
MAITENG LOR
PO BOX 246942
SACRAMENTO, CA 95824-6942
Phone number: 916-856-9450
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