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1902093909
GAYLE PATRICIA IVY
MODESTO, CA
NPI
1902093909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 165354)
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
Mrs. GAYLE PATRICIA IVY rn
3909 TRILLIUM AVE
MODESTO, CA 95356-1319
Phone number: 209-529-5191
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Mailing Address
Mrs. GAYLE PATRICIA IVY rn
3909 TRILLIUM AVE
MODESTO, CA 95356-1319
Phone number: 209-529-5191
Copy
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