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1508868787
CHANG S JOO
MODESTO, CA
NPI
1508868787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA A481920)
Enumeration Date
2005-06-01
Last Update Date
2008-02-22
Business Address
-- CHANG S JOO MD
305 E GRANGER AVE STE 202
MODESTO, CA 95350-4344
Phone number: 209-526-1606
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Mailing Address
-- CHANG S JOO MD
305 E GRANGER AVE STE 202
MODESTO, CA 95350-4344
Phone number: 209-526-1606
Copy
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