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1639294341
REMEDIOS AGUADA WALLACE
STOCKTON, CA
NPI
1639294341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT24227)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Prof. REMEDIOS AGUADA WALLACE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
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Mailing Address
Prof. REMEDIOS AGUADA WALLACE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
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