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1467702043
NATHANIEL FAJARDO GALANG
MANTECA, CA
NPI
1467702043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19703)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
-- NATHANIEL FAJARDO GALANG NP-C
165 SAINT DOMINICS DR STE 201
MANTECA, CA 95337-7802
Phone number: 209-239-0120
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Mailing Address
-- NATHANIEL FAJARDO GALANG NP-C
165 SAINT DOMINICS DR STE 201
MANTECA, CA 95337-7802
Phone number: 209-239-0120
Copy
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