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Individual

DAVE CORTES DY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
730 17TH ST, MODESTO, CA 95354-1209
(209) 248-7734
Mailing address
1905 CALI LIN CT, TURLOCK, CA 95380-9593
(209) 631-0038

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95002561
CA

Other

Enumeration date
08/04/2015
Last updated
10/21/2016
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