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1184239311
MICHAEL THEY
MODESTO, CA
NPI
1184239311
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Entity Type
Organization
Authorized Contact
GINA WALLACE
Manager
209-845-2553
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
MICHAEL THEY
802 14TH ST STE N
MODESTO, CA 95354-1029
Phone number: 209-718-6240
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Mailing Address
MICHAEL THEY
PO BOX 576649
MODESTO, CA 95357-6649
Phone number: 209-845-2553
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