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1649754367
VINAI PONGBANDITH DECENA
TURLOCK, CA
NPI
1649754367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009808)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
Dr. VINAI PONGBANDITH DECENA FNP, DNP
1111 E TUOLUMNE RD
TURLOCK, CA 95382-1541
Phone number: 209-632-7577
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Mailing Address
Dr. VINAI PONGBANDITH DECENA FNP, DNP
3683 SKEENA AVE
CERES, CA 95307-7016
Phone number: 209-541-7209
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