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Individual

CESFE BANOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-7147
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003828
CA

Other

Enumeration date
02/14/2016
Last updated
02/14/2016
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