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1851865158
CHRISTINE MAGIDIE DUMAYAS ROQUE
MODESTO, CA
NPI
1851865158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95010802)
Enumeration Date
2019-01-20
Last Update Date
2022-08-05
Business Address
Ms. CHRISTINE MAGIDIE DUMAYAS ROQUE N.P.
1552 COFFEE ROAD SUITE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168
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Mailing Address
Ms. CHRISTINE MAGIDIE DUMAYAS ROQUE N.P.
1552 COFFEE ROAD SUITE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168
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