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1922439751
TABATHA BUTTRAM
STOCKTON, CA
NPI
1922439751
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Former Name
TABATHA LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 35470)
Enumeration Date
2013-12-04
Last Update Date
2019-09-26
Business Address
TABATHA BUTTRAM
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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Mailing Address
TABATHA BUTTRAM
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
Copy
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