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Individual

MRS. CAROLYN LEVESEY PEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
609 E ORANGEBURG AVE, 101, MODESTO, CA 95350-5512
(209) 574-9452
(209) 574-0739
Mailing address
609 E ORANGEBURG AVE, 101, MODESTO, CA 95350-5512
(209) 574-9452
(209) 574-0739

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23929
CA

Other

Enumeration date
03/20/2007
Last updated
01/14/2013
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