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1053879932
ANITHA CHOORAKULAM GEORGE
MODESTO, CA
NPI
1053879932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: CA 95010870)
Enumeration Date
2019-03-09
Last Update Date
2019-04-10
Business Address
ANITHA CHOORAKULAM GEORGE NP
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-550-3984
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Mailing Address
ANITHA CHOORAKULAM GEORGE NP
10470 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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