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Individual

CAROLE MASON-LOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3908 REXFORD CT, MODESTO, CA 95356-1837
(209) 575-5885
Mailing address
PO BOX 1319, SALIDA, CA 95368-1319
(209) 543-6279

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
308399
CA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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