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1194136754
REGINA R BURGOS
STOCKTON, CA
NPI
1194136754
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Former Name
REGINA VINEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000624)
Enumeration Date
2014-05-16
Last Update Date
2020-09-29
Business Address
Ms. REGINA R BURGOS FNP
3132 W MARCH LN STE 5
STOCKTON, CA 95219-2354
Phone number: 209-475-5500
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Mailing Address
Ms. REGINA R BURGOS FNP
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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