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1366744492
JAMES WILLIS SIMMONS
MODESTO, CA
NPI
1366744492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19879)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
-- JAMES WILLIS SIMMONS NP
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
-- JAMES WILLIS SIMMONS NP
PO BOX 1170
RIPON, CA 95366-1170
Phone number: 209-482-6840
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