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1871957902
MELLISSA ACEVES
STOCKTON, CA
NPI
1871957902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt38306)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- MELLISSA ACEVES
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8723
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Mailing Address
-- MELLISSA ACEVES
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8723
Copy
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