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1497167530
ELIZABETH ANNE DEGRAVIO
STOCKTON, CA
NPI
1497167530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37500)
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
-- ELIZABETH ANNE DEGRAVIO
10904 LANDS END DR
STOCKTON, CA 95209-4289
Phone number: 209-986-5996
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Mailing Address
-- ELIZABETH ANNE DEGRAVIO
10904 LANDS END DR
STOCKTON, CA 95209-4289
Phone number: 209-986-5996
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