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1255045720
MOSES ENRIQUE ESTRADA
STOCKTON, CA
NPI
1255045720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 32526)
Enumeration Date
2023-01-10
Last Update Date
2024-11-20
Business Address
MOSES ENRIQUE ESTRADA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
MOSES ENRIQUE ESTRADA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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