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1801181151
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
MODESTO, CA
NPI
1801181151
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Entity Type
Organization
Authorized Contact
JOHN R PORTEOUS
M.D.
209-577-3388
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
205 W GRANGER AVE
MODESTO, CA 95350-4402
Phone number: 209-577-3388
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Mailing Address
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
1541 FLORIDA AVE SUITE 200
MODESTO, CA 95350-4423
Phone number: 209-577-3388
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