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1154739837
ENRIQUETA ALVAREZ
MODESTO, CA
NPI
1154739837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 57973)
Enumeration Date
2014-07-26
Last Update Date
2014-07-26
Business Address
-- ENRIQUETA ALVAREZ
817 COFFEE RD STE D
MODESTO, CA 95355-4241
Phone number: 209-527-6100
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Mailing Address
-- ENRIQUETA ALVAREZ
836 LA SOMBRA AVE
MODESTO, CA 95354-1434
Phone number: 209-735-2425
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