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1013213180
CAMERA BONSACK
MODESTO, CA
NPI
1013213180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-07
Last Update Date
2023-09-14
Business Address
CAMERA BONSACK CST II
522 E GRANGER AVE
MODESTO, CA 95350-4545
Phone number: 209-585-4610
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Mailing Address
CAMERA BONSACK CST II
522 E GRANGER AVE
MODESTO, CA 95350-4545
Phone number: 209-585-4610
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