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1033489307
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
MODESTO, CA
NPI
1033489307
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Entity Type
Organization
Authorized Contact
JOHN R PORTEOUS
President
209-577-3388
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
3125 CONANT AVE
MODESTO, CA 95350-6527
Phone number: 209-214-7053
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Mailing Address
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
1541 FLORIDA AVE SUITE 200
MODESTO, CA 95350-4423
Phone number: 209-577-3388
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