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1417170192
GWENDOLYN LOUISE NAVA
STOCKTON, CA
NPI
1417170192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT20732)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
GWENDOLYN LOUISE NAVA PT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
GWENDOLYN LOUISE NAVA PT
1122 S GRANT ST
STOCKTON, CA 95206-1627
Phone number: 209-464-1075
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