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1568848729
KATHERINE BOONE
MODESTO, CA
NPI
1568848729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95002833)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
-- KATHERINE BOONE
4335 N STAR WAY STE A
MODESTO, CA 95356-8628
Phone number: 209-342-5125
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Mailing Address
-- KATHERINE BOONE
2820 HARVEST RD
MODESTO, CA 95355-3433
Phone number:
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