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Individual

JEFFERY ERCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T..

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6937
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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