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1508263856
GRACE MBURU
STOCKTON, CA
NPI
1508263856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36489)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
GRACE MBURU P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
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Mailing Address
GRACE MBURU P.T.
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
Copy
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