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1306502091
ABEGIRL EBANA
STOCKTON, CA
NPI
1306502091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 42108)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
ABEGIRL EBANA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
ABEGIRL EBANA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
Copy
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