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1790974137
CHARLES STOCKERT
STOCKTON, CA
NPI
1790974137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
-- CHARLES STOCKERT CPO
1236 N EL DORADO ST STE ABC
STOCKTON, CA 95202-1324
Phone number: 209-944-5517
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Mailing Address
-- CHARLES STOCKERT CPO
1236 N EL DORADO ST STE ABC
STOCKTON, CA 95202-1324
Phone number: 209-944-5517
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