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1306624283
BETHANY CHRISTIAN SERVCIES OF CA
MODESTO, CA
NPI
1306624283
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Entity Type
Organization
Authorized Contact
LISA STOUTMEYER
Biller
616-224-7429
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
BETHANY CHRISTIAN SERVCIES OF CA
3048 HAHN DR
MODESTO, CA 95350-6503
Phone number: 209-522-5121
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Mailing Address
BETHANY CHRISTIAN SERVCIES OF CA
3048 HAHN DR
MODESTO, CA 95350-6503
Phone number: 209-522-5121
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