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1114040029
MIMSIE M FARRAR
MODESTO, CA
NPI
1114040029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP12314)
Enumeration Date
2007-04-06
Last Update Date
2016-02-24
Business Address
Ms. MIMSIE M FARRAR N.P.
3621 FOREST GLENN DR
MODESTO, CA 95355-1339
Phone number: 209-521-7411
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Mailing Address
Ms. MIMSIE M FARRAR N.P.
3621 FOREST GLENN DR
MODESTO, CA 95355-1339
Phone number: 209-521-7411
Copy
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