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1205653706
BAO THAO
MERCED, CA
NPI
1205653706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028695)
Enumeration Date
2024-09-25
Last Update Date
2024-09-27
Business Address
BAO THAO FNP
3393 G ST STE C
MERCED, CA 95340-1001
Phone number: 209-580-4172
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Mailing Address
BAO THAO FNP
PO BOX 3768
MERCED, CA 95344-3768
Phone number: 209-725-7149
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