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1639392459
SAMANTHA M HOLLOWAY
STOCKTON, CA
NPI
1639392459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 32576)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Miss SAMANTHA M HOLLOWAY
1212 N CALIFORNIA ST.
STOCKTON, CA 95202
Phone number: 209-468-8660
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Mailing Address
Miss SAMANTHA M HOLLOWAY
4415 N PERSHING AVE APT 17
STOCKTON, CA 95207
Phone number: 209-476-0358
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