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1023034204
SAMUEL ERNEST BLEAKLEY
MODESTO, CA
NPI
1023034204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 19413)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Dr. SAMUEL ERNEST BLEAKLEY D.D.S.
1601 MCHENRY VILLAGE WAY STE 1
MODESTO, CA 95350-4338
Phone number: 209-577-1313
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Mailing Address
Dr. SAMUEL ERNEST BLEAKLEY D.D.S.
1601 MCHENRY VILLAGE WAY STE 1
MODESTO, CA 95350-4338
Phone number: 209-577-1313
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