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1487015582
LUIS OTERO
STOCKTON, CA
NPI
1487015582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT 38229)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
-- LUIS OTERO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
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Mailing Address
-- LUIS OTERO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
Copy
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