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1689794976
JASON SALVADOR ROSALES
STOCKTON, CA
NPI
1689794976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT29038)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Mr. JASON SALVADOR ROSALES LICENSED PSYCH TECH
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-3760
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Mailing Address
Mr. JASON SALVADOR ROSALES LICENSED PSYCH TECH
1233 SHADOW CREEK DR
STOCKTON, CA 95209-1426
Phone number: 209-468-3760
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