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1427158351
JOSE L. BANUELOS
MODESTO, CA
NPI
1427158351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G47968)
Enumeration Date
2006-09-22
Last Update Date
2012-03-09
Business Address
Dr. JOSE L. BANUELOS M.D.
1448 FLORIDA AVE
MODESTO, CA 95350-4424
Phone number: 209-523-1884
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Mailing Address
Dr. JOSE L. BANUELOS M.D.
1448 FLORIDA AVE
MODESTO, CA 95350-4424
Phone number: 209-523-1884
Copy
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