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1316068430
PEGGY ELAINE GORDON
STOCKTON, CA
NPI
1316068430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT29247)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- PEGGY ELAINE GORDON L.P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7524
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Mailing Address
-- PEGGY ELAINE GORDON L.P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7524
Copy
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