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Individual

MR. DINDO ANGELES CLUTARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
(209) 468-2084
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34295
CA
167G00000X
Licensed Psychiatric Technician

Other

Enumeration date
04/01/2009
Last updated
01/12/2024
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