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1134653199
PAYENG MOUA
MODESTO, CA
NPI
1134653199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95085327)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
-- PAYENG MOUA
820 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-7700
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Mailing Address
-- PAYENG MOUA
820 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-7700
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