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1447518204
KENDRA E VILLASENOR
STOCKTON, CA
NPI
1447518204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt 36449)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
Mrs. KENDRA E VILLASENOR
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8861
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Mailing Address
Mrs. KENDRA E VILLASENOR
PO BOX 4273
STOCKTON, CA 95204-0273
Phone number: 209-598-0067
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