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1063992006
ROBERTO VARGAS-PANTOJA
CERES, CA
NPI
1063992006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN696899)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
ROBERTO VARGAS-PANTOJA
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number: 209-300-8800
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Mailing Address
ROBERTO VARGAS-PANTOJA
827 WALNUT WAY
MODESTO, CA 95351-3082
Phone number:
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