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1275646036
PURNA CHANDRA DATTA
STOCKTON, CA
NPI
1275646036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY10808)
Enumeration Date
2006-08-16
Last Update Date
2012-04-12
Business Address
Dr. PURNA CHANDRA DATTA Ph.D.
7510 SHORELINE DR SUITE A-6
STOCKTON, CA 95219-5495
Phone number: 209-406-6817
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Mailing Address
Dr. PURNA CHANDRA DATTA Ph.D.
7510 SHORELINE DR SUITE A-6
STOCKTON, CA 95219-5495
Phone number: 209-406-6817
Copy
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