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PAUL WALLACE

Licensed Psychiatric Technician

NPI: 1114044799Individual

Specialties, Licenses & Credentials

Licensed Psychiatric Technician

Code: 167G00000X

PT 26296(CA)
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Contact & Hours

Address
1212 N CALIFORNIA ST
STOCKTON, CA 95202

Quick Facts

NPI
1114044799
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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