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1972944072
MELISSA ISMELIN BAZUA
STOCKTON, CA
NPI
1972944072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 36496)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
Ms. MELISSA ISMELIN BAZUA LPT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750
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Mailing Address
Ms. MELISSA ISMELIN BAZUA LPT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750
Copy
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