GREGORY ALLEN WATERS

STOCKTON, CA
NPI1902029960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  988887445)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Mr. GREGORY ALLEN WATERS
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number: 209-946-2132
Mailing Address
Mr. GREGORY ALLEN WATERS
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number: 209-946-2132
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