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1689089823
JILL MARIE RIVAS
MODESTO, CA
NPI
1689089823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000860)
Enumeration Date
2014-06-26
Last Update Date
2015-10-30
Business Address
Mrs. JILL MARIE RIVAS FNP
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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Mailing Address
Mrs. JILL MARIE RIVAS FNP
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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