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1619934056
CHARLES R SUNTRA
MODESTO, CA
NPI
1619934056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA A74442)
Enumeration Date
2006-04-28
Last Update Date
2010-06-14
Business Address
CHARLES R SUNTRA MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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Mailing Address
CHARLES R SUNTRA MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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