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1750443305
MODESTO ANESTHESIA MEDICAL GROUP
MODESTO, CA
NPI
1750443305
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Entity Type
Organization
Authorized Contact
HWAN KIM
Authorized Official
2095-763-5414
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2006-12-13
Last Update Date
2020-08-22
Business Address
MODESTO ANESTHESIA MEDICAL GROUP
1441 FLORIDA AVENUE
MODESTO, CA 95350-4405
Phone number: 209-576-3514
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Mailing Address
MODESTO ANESTHESIA MEDICAL GROUP
1441 FLORIDA AVENUE
MODESTO, CA 95350-4405
Phone number: 209-576-3514
Copy
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