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Individual

MR. GARY LAMANGAN RICAFRENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5250 CLAREMONT AVE, SUITE 212, STOCKTON, CA 95207-5700
(209) 644-7000
Mailing address
5250 CLAREMONT AVE, SUITE 212, STOCKTON, CA 95207-5700
(209) 644-7000

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8J78286
CA

Other

Enumeration date
05/04/2008
Last updated
05/04/2008
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