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1437822962
CELENA THAO
FRESNO, CA
NPI
1437822962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017222)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
CELENA THAO
7035 N MAPLE AVE STE 102B
FRESNO, CA 93720-8026
Phone number: 559-299-2997
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Mailing Address
CELENA THAO
1127 N WINTERGREEN AVE
FRESNO, CA 93737-9528
Phone number: 559-765-8202
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