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1215241682
MARY ALICE MODDERS
LOS ANGELES, CA
NPI
1215241682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19349)
Enumeration Date
2010-07-28
Last Update Date
2011-04-21
Business Address
Mrs. MARY ALICE MODDERS FNP
8635 W 3RD ST SUITE 795
LOS ANGELES, CA 90048-6101
Phone number: 310-423-8350
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Mailing Address
Mrs. MARY ALICE MODDERS FNP
8635 W 3RD ST SUITE 795
LOS ANGELES, CA 90048-6101
Phone number: 310-423-8350
Copy
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