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1205025137
CHARMAINE DELORES BREEDLOVE
MODESTO, CA
NPI
1205025137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN212774)
Enumeration Date
2007-10-16
Last Update Date
2007-10-16
Business Address
Ms. CHARMAINE DELORES BREEDLOVE LVN/LPN
1301 RICHLAND AVE APT 345
MODESTO, CA 95351-5023
Phone number: 209-538-9984
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Mailing Address
Ms. CHARMAINE DELORES BREEDLOVE LVN/LPN
910 MUIR RD
MODESTO, CA 95350-6067
Phone number: 209-524-9022
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