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1043837479
SUSANA CAMACHO
MODESTO, CA
NPI
1043837479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014376)
Enumeration Date
2020-07-01
Last Update Date
2022-03-02
Business Address
SUSANA CAMACHO
3320 TULLY RD
MODESTO, CA 95350-0800
Phone number: 209-550-5200
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Mailing Address
SUSANA CAMACHO
3349 G ST STE A
MERCED, CA 95340-0978
Phone number: 209-600-4422
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