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Organization
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Active
Organization
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA GUTIERREZ MEDICAL ASSISTANT (CLINIC SUPERVISOR)
(209) 522-9054
Entity
Organization
Contact information
Practice address
1130 COFFEE RD STE 10, MODESTO, CA 95355-4228
(209) 522-9054
(209) 550-5898
Mailing address
1130 COFFEE RD STE 10, MODESTO, CA 95355-4228
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2023
Last updated
05/02/2024
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