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1629595137
KRYSTAL STAR DIXON
STOCKTON, CA
NPI
1629595137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT37482)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
Miss KRYSTAL STAR DIXON LPT
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-4202
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Mailing Address
Miss KRYSTAL STAR DIXON LPT
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-4240
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