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1740797976
ELOISA VELASCO
STOCKTON, CA
NPI
1740797976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40561)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
ELOISA VELASCO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
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Mailing Address
ELOISA VELASCO
2958 KENNSINGTON CT
TRACY, CA 95377-7974
Phone number:
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