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1023210739
FANTINE WARDA
MODESTO, CA
NPI
1023210739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 14939)
Enumeration Date
2007-06-04
Last Update Date
2016-07-25
Business Address
Ms. FANTINE WARDA NP
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
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Mailing Address
Ms. FANTINE WARDA NP
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
Copy
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