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1316504541
NESREN ANTON AZER ANTON
MODESTO, CA
NPI
1316504541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95011844)
Enumeration Date
2019-05-22
Last Update Date
2021-08-27
Business Address
NESREN ANTON AZER ANTON NP
3509 COFFEE RD
MODESTO, CA 95355-1356
Phone number: 510-736-9104
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Mailing Address
NESREN ANTON AZER ANTON NP
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 510-736-9104
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