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1104998798
NUSRAT MALIK
MODESTO, CA
NPI
1104998798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A54022)
Enumeration Date
2006-11-15
Last Update Date
2009-10-25
Business Address
-- NUSRAT MALIK M.D.
1501 CLAUS RD DBHC
MODESTO, CA 95355-9711
Phone number: 209-557-6300
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Mailing Address
-- NUSRAT MALIK M.D.
3113 JOLIE PRE CIR
MODESTO, CA 95356-9315
Phone number: 209-545-6969
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