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1487805982
JOSE JUAREZ
MODESTO, CA
NPI
1487805982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 647496)
Enumeration Date
2008-10-02
Last Update Date
2012-10-26
Business Address
-- JOSE JUAREZ RN
500 N 9TH ST
MODESTO, CA 95350-5814
Phone number: 209-558-4610
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Mailing Address
-- JOSE JUAREZ RN
6213 EAGLE RIDGE DR
RIVERBANK, CA 95367-2609
Phone number: 209-495-6720
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