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1578325007
MICAELA MIRELES
MODESTO, CA
NPI
1578325007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028698)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
MICAELA MIRELES FNP
1300 MABLE AVE STE C
MODESTO, CA 95355-1120
Phone number: 209-577-2799
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Mailing Address
MICAELA MIRELES FNP
1300 MABLE AVE STE C
MODESTO, CA 95355-1120
Phone number:
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