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1689300857
MUACONG MARTIN LO
STOCKTON, CA
NPI
1689300857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 42402)
Enumeration Date
2022-07-28
Last Update Date
2023-03-22
Business Address
MUACONG MARTIN LO Mental Health
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
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Mailing Address
MUACONG MARTIN LO Mental Health
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
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