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1942517206
MARIA BASILISA GUTIERREZ
MODESTO, CA
NPI
1942517206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn219813)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- MARIA BASILISA GUTIERREZ LVN
2213 VERA CRUZ DR
MODESTO, CA 95355-2310
Phone number: 209-589-5219
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Mailing Address
-- MARIA BASILISA GUTIERREZ LVN
PO BOX 579728
MODESTO, CA 95357-9728
Phone number: 209-589-5219
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