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Individual

ROD VERCELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8711
(209) 468-8712
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8711
(209) 468-8712

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
39107
CA

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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