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1174021521
CHARINA GELLACO QUIAMBAO
MODESTO, CA
NPI
1174021521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008419)
Enumeration Date
2018-01-30
Last Update Date
2018-03-23
Business Address
Mrs. CHARINA GELLACO QUIAMBAO FNP
1510 FLORIDA AVE
MODESTO, CA 95350-4437
Phone number: 209-492-7150
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Mailing Address
Mrs. CHARINA GELLACO QUIAMBAO FNP
1910 CUSTOMER CARE WAY
ATWATER, CA 95301-5167
Phone number: 209-384-6488
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