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1487034690
KRISTOPHER DE GA
MODESTO, CA
NPI
1487034690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A159059)
Enumeration Date
2015-06-02
Last Update Date
2023-07-20
Business Address
KRISTOPHER DE GA
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 916-708-8038
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Mailing Address
KRISTOPHER DE GA
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number:
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