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1114794252
JANICE HALLSTROM
MODESTO, CA
NPI
1114794252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA 780928)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
JANICE HALLSTROM RN
500 N 9TH ST STE A
MODESTO, CA 95350-5814
Phone number: 209-525-5300
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Mailing Address
JANICE HALLSTROM RN
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-5300
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