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1619344348
MARICELLE LOPEZ GAMAD
MODESTO, CA
NPI
1619344348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95002958)
Enumeration Date
2015-08-28
Last Update Date
2024-06-16
Business Address
MARICELLE LOPEZ GAMAD NP
1130 COFFEE RD STE 10
MODESTO, CA 95355-4228
Phone number: 209-522-9054
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Mailing Address
MARICELLE LOPEZ GAMAD NP
1130 COFFEE RD STE 10
MODESTO, CA 95355-4228
Phone number: 559-441-3252
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