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1033586896
LAURA KINKADE
MODESTO, CA
NPI
1033586896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CA 95002933)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business Address
LAURA KINKADE NP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3525
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Mailing Address
LAURA KINKADE NP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3525
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