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1417524059
VIRGINIA TIFUH TAKU
MODESTO, CA
NPI
1417524059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 833086)
Enumeration Date
2021-06-10
Last Update Date
2025-01-18
Business Address
VIRGINIA TIFUH TAKU NP
2401 E ORANGEBURG AVE STE 330
MODESTO, CA 95355-3396
Phone number: 813-599-1022
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Mailing Address
VIRGINIA TIFUH TAKU NP
2401 E ORANGEBURG AVE STE 330
MODESTO, CA 95355-3396
Phone number: 813-599-1022
Copy
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