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1568567105
SURYABANU JAVEED
STOCKTON, CA
NPI
1568567105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A56307)
Enumeration Date
2006-09-14
Last Update Date
2014-01-28
Business Address
-- SURYABANU JAVEED
1212 N CALIFORNIA STREET.
STOCKTON, CA 95202
Phone number: 209-468-3775
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Mailing Address
-- SURYABANU JAVEED
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-3775
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