Individual
CLIFTON DEBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 N SUTTER ST STE 200, STOCKTON, CA 95202-2911
(209) 663-3678
Mailing address
1030 S HUTCHINS ST STE 4-193, LODI, CA 95240-5251
(209) 663-3678
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
11/12/2020
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