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1194720144
BLAINE CHRISTOPHER VAN AUSDELN
STOCKTON, CA
NPI
1194720144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 326768/4523)
Enumeration Date
2005-06-16
Last Update Date
2007-07-09
Business Address
MR. BLAINE CHRISTOPHER VAN AUSDELN FNP-C, M.S.
7373 WEST LN
STOCKTON, CA 95210-3377
Phone number: 209-476-3569
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Mailing Address
MR. BLAINE CHRISTOPHER VAN AUSDELN FNP-C, M.S.
7373 WEST LN
STOCKTON, CA 95210-3377
Phone number: 209-476-3569
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