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1215661145
OSCAR ULICES ANDRADE
STOCKTON, CA
NPI
1215661145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 42243)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
OSCAR ULICES ANDRADE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
OSCAR ULICES ANDRADE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
Copy
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