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1568584548
JERRY LOUISE TAIT
STOCKTON, CA
NPI
1568584548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt14939)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- JERRY LOUISE TAIT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
-- JERRY LOUISE TAIT
1112 ENVIEW CT
STOCKTON, CA 95210-2161
Phone number:
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