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Organization
MICHAEL THEY
Active
Organization
MICHAEL THEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THEY NP (OWNER)
(209) 718-6240
Entity
Organization
Contact information
Practice address
802 14TH ST STE N, MODESTO, CA 95354-1029
(209) 718-6240
(209) 844-0334
Mailing address
PO BOX 576649, MODESTO, CA 95357-6649
(209) 845-2553
(209) 844-0334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
08/27/2020
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